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

COLIN GLYNN CUSICK, PHYSICIAN ASSISTANT

Active

COLIN GLYNN CUSICK, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in ANTIOCH, California. NPI 1780107169 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ANTIOCH, CA

Registration Details

NPI Number
1780107169
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2017 (9.0671254593109 yrs)
Last Updated
Jul 18, 2017
License
54485 (CA)

Practice Information

Address
3901 LONE TREE WAY
ANTIOCH, CA, 945096200
Browse CA providers · Browse ZIP 94509
Phone
9257797200
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ANTIOCH, CA

Name Credential NPI
REYNALDO MARANAN BULAON P.A-C 1659396760
KIMBERLY ANN MELLO P.A-C 1467471862
MELINDA NEYMAR VALENTIN P.A.-C. 1831292895
NICOLE HELEN BYARS P.A-C 1215052113
RACHEL MARY BAKER P.A.-C 1922271238
MS. ELIZABETH MARIE DACOSTA P.A.-C 1861665739
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.