# SCARLETT CUSTER DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467691535
- **Authorized official:** DR. SCARLETT FLORENCE CUSTER D.O. (DOCTOR)
- **Authorized official phone:** (918) 214-4068

## Contact information

- **Practice address:** 8734 N 4003 DR BOX 309, COPAN, OK 74022-0309
- **Practice address phone:** (918) 214-4068
- **Mailing address:** PO BOX 309, COPAN, OK 74022-0309
- **Mailing address phone:** (918) 214-4068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3401 | OK | Yes |

## Other

- **Enumeration date:** 02/13/2009
- **Last updated:** 04/17/2013
