Dr. BARRY JUSTIN CUSACK -- MD
Individual Provider (NPI-1)
Active
Internal Medicine, Geriatric Medicine
Provider Information
- NPI Number
1720187289- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 500 WEST FORT ST (111), BOISE, ID, 837024598
- Phone
- (208) 422-1000
- Fax
- (208) 422-1319
Specialties & Taxonomies
Internal Medicine, Geriatric Medicine
Primary License: ID #M5678