Daniel G Costello PA

NPI 1063415156 - Physician Assistant - 363A00000X

NPI Details
NPI 1063415156
Gender Male
Enumeration Date 05/23/2005
Last Updated 07/14/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2400 S PEORIA ST
#100
AURORA CO, 80014-5476, US
Phone (303) 306-4321
Fax (720) 524-1551
Business Location
2400 S PEORIA ST
#100
AURORA CO, 80014-5476, US
Phone (303) 306-4321
Fax (720) 524-1551
Toxanomy
Taxonomy Code 363A00000X
License State New Mexico
License Number PA2004-0044
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According to our database, Daniel G Costello PA NPI is 1063415156, taxonomy code is 363A00000X and license number is PA2004-0044, license state is located at New Mexico. Daniel G Costello PA physically located at 2400 S Peoria St, Aurora CO, 80014-5476. NPI Number Daniel G Costello PA has the Individual type.

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1063415156 NPI number is provided on an as is basis without warranty of any kind. 1063415156 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel G Costello PA are for informational purposes only.