Taylor Custer is a Specialist in Flagstaff, Arizona. Taylor Custer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Taylor Custer is 1851472559. The last update date is 2020-08-05.
Taylor Custer's current location address is 2915 North 4th Street, Flagstaff, Arizona. You can contact this provider via phone number 9287791679 and fax number 9287792822. The mailing address for Taylor Custer is 2915 North 4th Street, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taylor Custer |
|---|---|
| Address | 2915 North 4th Street, Flagstaff, Arizona |
| Phone Number | 9287791679 |
| Fax Number | 9287792822 |
| Sole Proprietor | N |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1851472559 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | 2915 North 4th Street |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 86004 |
| Phone Number | 9287791679 |
| Fax Number | 9287792822 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 7317 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137175 | AZ | AHCCCS # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Taylor Custer by the Centers for Medicare & Medicaid Services?
The Taylor Custer has been assigned the NPI (National Provider Identifier) 1851472559 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Taylor Custer's facilities are geographically located?
The facilities of Taylor Custer are physically situated at the following location: 2915 North 4Th Street, Flagstaff, AZ, 86004.
What is Taylor Custer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Taylor Custer's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the Taylor Custer's 1851472559 issued?
The Taylor Custer's 1851472559 was issued on 2006-10-18.
As of what date were the details related to Taylor Custer most recently updated or revised?
The information pertaining to Taylor Custer, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-05.
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