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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BARRY JUSTIN CUSACK, MD

Active

DR. BARRY JUSTIN CUSACK, MD is a Gastroenterology healthcare provider located in BOISE, Idaho. NPI 1720187289 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · BOISE, ID

Registration Details

NPI Number
1720187289
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.709954201454 yrs)
Last Updated
Jul 8, 2007
License
M5678 (ID)

Practice Information

Address
500 WEST FORT ST
(111)
BOISE, ID, 837024598
Browse ID providers · Browse ZIP 83702
Phone
2084221000
Fax
2084221319
Primary Specialty
Gastroenterology
207RG0300X

Other Gastroenterology Providers in BOISE, ID

Name Credential NPI
CHARLES E BOULT MD 1962468025
DR. JAMES ERWIN BRANAHL M.D. 1932116423
CAITLIN MOHR M.D. 1346535952
ALEXANDRA NICOLE MEIER M.D. 1619234622
KARA MACKENZIE KUNTZ MD 1891057246
DR. CAITLIN KINAHAN MD 1376938076
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.