DR. Daryl G Custred, O.D.

NPI #1215047097 in Jasper, Alabama

Provider Information

NPI Number
1215047097
Entity Type
Individual
Name
DR. Daryl G Custred, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 30, 2006
Last Updated
Nov 11, 2010

Practice Location

Address
1499 N AIRPORT RD
City
Jasper
State
Alabama
ZIP Code
35504-8882
Phone
(205) 221-3721

Specialties & Taxonomy Codes

Specialty
Optometrist

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