Leroy Evan Custer in Walnut Creek - Diagnostic Radiology
Leroy Evan Custer - NPI 1538104179
Leroy Evan Custer is a Diagnostic Radiology in Walnut Creek, California. Leroy Evan Custer practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Leroy Evan Custer is 1538104179. The last update date is 2009-01-29.
Leroy Evan Custer's current location address is 175 Lennon Ln, Walnut Creek, California. You can contact this provider via phone number 9252967156 and fax number 9252967174. The mailing address for Leroy Evan Custer is 175 Lennon Ln, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leroy Evan Custer |
|---|---|
| Address | 175 Lennon Ln, Walnut Creek, California |
| Phone Number | 9252967156 |
| Fax Number | 9252967174 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538104179 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2009-01-29 |
Provider Mailing Address Detail
| Address | 175 Lennon Ln |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945982485 |
| Phone Number | 9252967156 |
| Fax Number | 9252967174 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G12559 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leroy Evan Custer by the Centers for Medicare & Medicaid Services?
The Leroy Evan Custer has been assigned the NPI (National Provider Identifier) 1538104179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Leroy Evan Custer is physically located?
The Leroy Evan Custer is physically situated at the following address: 175 Lennon Ln, Walnut Creek, CA, 945982485.
What is the Leroy Evan Custer's specialty and taxonomy code?
The Leroy Evan Custer's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Leroy Evan Custer receive the assignment of its 1538104179 from the Centers for Medicare & Medicaid Services?
The Leroy Evan Custer was issued its 1538104179 by the Centers for Medicare & Medicaid Services on 2006-06-18.
As of what date was the information regarding Leroy Evan Custer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leroy Evan Custer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-29.