JOHN CUSTIS, MD
Internal Medicine
Active
Individual
NPI: 1770561813
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | MD09069 (OR) |
Frequently Asked Questions
NPI 1770561813 is the National Provider Identifier for JOHN CUSTIS, MD, a Internal Medicine provider located in Gresham, OR. This NPI was enumerated on January 9, 2006.
JOHN CUSTIS, MD practices at 24900 SE STARK, STE 109, Gresham, OR 97030.
Quick Facts
- NPI
- 1770561813
- Type
- Individual
- Enumerated
- Jan 9, 2006
- Last Updated
- Dec 21, 2007
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