BARRY JUSTIN CUSACK

BOISE, ID
NPI1720187289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: ID  M5678)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
Dr. BARRY JUSTIN CUSACK MD
500 WEST FORT ST (111)
BOISE, ID 83702-4598
Phone number: 208-422-1000
Mailing Address
Dr. BARRY JUSTIN CUSACK MD
9550 CHELAN AVE
GARDEN CITY, ID 83714-1264
Phone number: 208-375-8560
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