Custer, Philip L

Custer, Philip L is an individual health care provider with primary practice located at 4901 Forest Park Ave Dept Ophthalmology, 6Th Fl, Saint Louis MO 63108-1495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Custer, Philip L can be contacted via phone (314) 362-3937.

Contact Information

Primary practice address
4901 Forest Park Ave Dept Ophthalmology, 6Th Fl Saint Louis MO 63108-1495
Phone: (314) 362-3937
Fax: (314) 362-3725
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R9697 Missouri

Profile Details

NPI number 1538187968
LBN Legal business name Custer, Philip L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538187968 NPPES
Missouri MEDICAID 201210135

Popular Providers