Roger Cushman, P.A

NPI 1578742615 · on the registry since 2007 · sole proprietor

Practice

Address: 2302 E. Terry Street
Pocatello, ID 83201
Phone: (208) 235-5910
Organisation at this address: Bmh, Inc
Bmh Inc.
Diabetes And Internal Medicine
Surgical Specialists Of America, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho