Individual
MR. MARIO E COSTALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8051 DEER TRL, ROGERS, AR 72756-7459
(476) 936-1537
Mailing address
8051 DEER TRL, ROGERS, AR 72756-7459
(476) 936-1537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R-2511
AR
Other
Enumeration date
05/29/2007
Last updated
03/07/2023
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