IndividualActive
Alfredo Custodio, M.D.
NPI 1144427469 · Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1144427469
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MDR7797 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11133 Dunn Rd
Saint Louis, MO 63136-6119
Phone: (314) 653-5744
Fax: (314) 653-5613
Approximate (ZIP-level) locationGet directions
Mailing address
11133 Dunn Rd
Saint Louis, MO 63136-6119
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2007-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.