Individual
DR. SHANON L CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2214 CANTERBURY DR, SUITE 202, HAYS, KS 67601-2375
(785) 623-2312
(785) 623-2323
Mailing address
2214 CANTERBURY DR, SUITE 202, HAYS, KS 67601-2375
(785) 623-2312
(785) 623-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-30345
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335110A
—
KS
Enumeration date
02/17/2006
Last updated
12/16/2009
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