Alfredo Custodio is a Surgery in Saint Louis, Missouri. Alfredo Custodio practices all healthcare services and medical treatments related to Surgery. The NPI Number for Alfredo Custodio is 1144427469. The last update date is 2007-10-26.
Alfredo Custodio's current location address is 11133 Dunn Rd, Saint Louis, Missouri. You can contact this provider via phone number 3146535744 and fax number 3146535613. The mailing address for Alfredo Custodio is 11133 Dunn Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfredo Custodio |
|---|---|
| Address | 11133 Dunn Rd, Saint Louis, Missouri |
| Phone Number | 3146535744 |
| Fax Number | 3146535613 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144427469 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2007-10-26 |
Provider Mailing Address Detail
| Address | 11133 Dunn Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631366119 |
| Phone Number | 3146535744 |
| Fax Number | 3146535613 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MDR7797 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alfredo Custodio by the Centers for Medicare & Medicaid Services?
The Alfredo Custodio has been issued the NPI (National Provider Identifier) 1144427469 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Alfredo Custodio?
The Alfredo Custodio is physically situated at 11133 Dunn Rd, in the city of Saint Louis, state of MO, with the postal code 631366119.
What is the area of specialization for Alfredo Custodio, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alfredo Custodio is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date was the 1144427469 assigned to Alfredo Custodio?
The Alfredo Custodio was issued its 1144427469 on 2007-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Alfredo Custodio's information last updated?
The Alfredo Custodio's information was last updated on 2007-10-26.
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