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Individual
NICHOLAS GLENN COST
Active
Individual
NICHOLAS GLENN COST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
N4361
TX
2088P0231X
Pediatric Urology Physician
Primary
DR.0051893
CO
Other
Enumeration date
06/13/2007
Last updated
11/30/2018
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