Individual
DAVID STEWART KOSLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
489 E 21ST ST, SAN BERNARDINO, CA 92404-4816
(909) 882-2973
(909) 882-2681
Mailing address
489 E 21ST ST, SAN BERNARDINO, CA 92404-4816
(909) 882-2973
(909) 882-2681
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A168921
CA
208800000X
Urology Physician
DR.0060248
CO
Other
Enumeration date
05/09/2013
Last updated
09/02/2020
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