Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID K. CUSTIS, PA-C
ActiveDAVID K. CUSTIS, PA-C is a Physician Assistant healthcare provider located in WALL, South Dakota. NPI 1477516540 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WALL, SD
Registration Details
- NPI Number
- 1477516540
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2006 (20.350671255053 yrs)
- Last Updated
- Mar 27, 2014
- License
-
0123 (SD)
Practice Information
- Address
-
112 7TH AVEWALL, SD, 577900423Browse SD providers · Browse ZIP 57790
- Phone
- 6052792149
- Fax
- 6052792139
- Primary Specialty
-
Physician Assistant
363A00000X
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.