Individual
COLLIN MICHAEL COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
59195
AZ
207R00000X
Internal Medicine Physician
R76707
AZ
Other
Enumeration date
03/20/2018
Last updated
09/06/2022
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