Individual
BRYAN G CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 234-6110
(814) 234-6765
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 234-6110
(814) 234-6765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051396
PA
Other
Enumeration date
04/13/2006
Last updated
08/23/2007
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