Individual
THOMAS L COSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6600 S YALE AVE, SUITE 350, TULSA, OK 74136-3347
(918) 494-6465
(918) 491-5899
Mailing address
6600 S YALE AVE, STE 350, TULSA, OK 74136-3347
(918) 494-6465
(918) 491-5899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2514
OK
Other
Enumeration date
12/23/2005
Last updated
12/24/2014
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