Individual
LUIZ GUSTAVO MOREIRA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-5000
(319) 272-5264
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-5000
(319) 272-5264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-48956
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009946
RTP
GA
Enumeration date
06/12/2018
Last updated
04/10/2026
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