DR. Alfredo Custodio, M.D.

NPI #1144427469 in Saint Louis, Missouri

Provider Information

NPI Number: 1144427469
Entity Type: Individual
Name: DR. Alfredo Custodio, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 29, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 11133 DUNN RD
City: Saint Louis
State: Missouri
ZIP Code: 63136-6119
Phone: (314) 653-5744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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