Individual
VICTOR COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5100 W 110TH ST STE 110, OVERLAND PARK, KS 66211-1215
(913) 345-6960
(913) 345-6966
Mailing address
5100 W 110TH ST STE 110, OVERLAND PARK, KS 66211-1215
(913) 345-6960
(913) 345-6966
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA10462000
NJ
Other
Enumeration date
04/10/2015
Last updated
03/22/2023
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