Individual provider · Type 1 NPI

David K. Custis, PA-C

Physician Assistant · Gillette, WY

NPI number 1477516540 Active

Practice location

501 S Burma Ave
Gillette, WY 82716-3426

Call (307) 688-3636 Map

Fax (307) 688-7920

Mailing address

PO Box 3011
Gillette, WY 82717-3011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA832 (WY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477516540

David K. Custis, PA-C's National Provider Identifier is 1477516540, issued on Apr 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gillette, WY. The record was last updated on Jul 29, 2026.