Individual provider · Type 1 NPI

Sophia Custer, P.A.

Physician Assistant · St. Louis, MO

NPI number 1750760799 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Mailing address

625 S New Ballas Rd Ste 7020
St. Louis, MO 63141-8218

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2015007863 (MO)

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 1750760799

Sophia Custer, P.A.'s National Provider Identifier is 1750760799, issued on May 22, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 26, 2021.