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Individual

DR. PAUL I. KOSKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1503 STRONG AVE, GREENWOOD, MS 38930-4036
(662) 453-1133
(662) 455-9109
Mailing address
1503 STRONG AVE, GREENWOOD, MS 38930-4036
(662) 453-1133
(662) 455-9109

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7328
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118920
MS
Enumeration date
07/23/2006
Last updated
05/01/2008
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