Individual
MR. MARK COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2516 W MAIN ST, LITTLETON, CO 80120-1913
(303) 797-6656
(303) 797-6616
Mailing address
2516 W MAIN ST, LITTLETON, CO 80120-1913
(303) 797-6656
(303) 797-6616
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
361
CO
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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