Individual
ANN MARIE COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2007 NORTH COMMERCE, SUITE 200, ARDMORE, OK 73401
(580) 223-7576
Mailing address
PO BOX 5519, ARDMORE, OK 73403
(580) 223-7576
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14936
OK
Other
Enumeration date
09/25/2006
Last updated
12/25/2007
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