FREDERICK CUSTOMEYEZ IN ST. LOUIS is a clinic center in Saint Louis, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FREDERICK CUSTOMEYEZ IN ST. LOUIS NPI is 1912603507. The provider is registered as an organization entity type.
The provider's business location address is:
1834 CRAIG RD
SAINT LOUIS, MO
ZIP 63146-712
Phone: (401) 584-3939
The provider's authorized official is Melissa Frederick .
The authorized official title is Owner and has the following contact phone number (401) 584-3939.
The enumeration date for this NPI number is 2/6/2023 and was last updated on 2/6/2023.