Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Frederick Customeyez in St Louis

Organization Clinic/Center · NPI 1912603507

Frederick Customeyez in St Louis is a Clinic/Center in Saint Louis, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1834 Craig Rd
Saint Louis, MO 63146-4712
Phone: (401) 584-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1912603507
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFrederick Customeyez Prosthetics LLC
Authorized official Melissa Frederick — Owner · (401) 584-3939
NPI enumeratedFebruary 6, 2023
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address9278 Paradise Dr, Panama City Beach, FL 32413-9625

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