Custodio, Alfredo
Custodio, Alfredo is an individual health care provider with primary practice located at 11133 Dunn Rd , Saint Louis MO 63136-6119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Custodio, Alfredo can be contacted via phone (314) 653-5744.Contact Information
Primary practice address
11133 Dunn Rd
Saint Louis MO 63136-6119
Phone: (314) 653-5744
Fax: (314) 653-5613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MDR7797 | Missouri |
Profile Details
| NPI number | 1144427469 |
|---|---|
| LBN Legal business name | Custodio, Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Oct 26th, 2007 - about 19 years ago |
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.
Popular Providers
-
Fields, Ryan Courtney
4921 Parkview Pl Div Surg Hpb, Ste 12B, Saint Louis MO 63110-1032 -
Neuberger, Todd J
555 N New Ballas Rd Div Surg Vascular, Ste 265, Saint Louis MO 63141-6825 -
Jensen, Joshua E
11155 Dunn Rd Suite 108N, Saint Louis MO 63136-6150 -
Hanson, Morin Michael
11125 Dunn Rd Ste 402, Saint Louis MO 63136-6132 -
Rosengart, Matthew
1 Barnes Jewish Hospital Plz Div Surg Accs, Saint Louis MO 63110-1003 -
Bailey, Jeffrey A
1 Barnes Jewish Hospital Plz Div Surg Accs, Saint Louis MO 63110-1003 -
Blanke, Thomas J
4901 Forest Park Ave Ste 420, Saint Louis MO 63108-1402 -
Hafenrichter, Daniel
3009 N Ballas Rd Ste 320A , Saint Louis MO 63131-2324