David K. Custis, PA-C
NPI #1477516540 in Wall, South Dakota
Provider Information
- NPI Number
- 1477516540
- Entity Type
- Individual
- Name
- David K. Custis, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Mar 27, 2014
Practice Location
- Address
- 112 7TH AVE
- City
- Wall
- State
- South Dakota
- ZIP Code
- 57790-0423
- Phone
- (605) 279-2149
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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