DAVID K. CUSTIS

WALL, SD
NPI1477516540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0123)
Enumeration Date2006-04-10
Last Update Date2014-03-27
Business Address
-- DAVID K. CUSTIS PA-C
112 7TH AVE
WALL, SD 57790-0423
Phone number: 605-279-2149
Mailing Address
-- DAVID K. CUSTIS PA-C
353 FAIRMONT BLVD ATTEN CHRISTIE MSS
RAPID CITY, SD 57701-7350
Phone number: