Individual
RYAN MATTHEW COSTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5605 MADRID DR, AUSTINTOWN, OH 44515-4136
(330) 518-2902
Mailing address
5605 MADRID DR, AUSTINTOWN, OH 44515-4136
(330) 518-2902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0026869
OH
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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