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Individual

DR. STEFAN COSTINEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(602) 685-5211
(602) 685-5325
Mailing address
PO BOX 42210, PHOENIX, AZ 85080-2210
(623) 266-7770
(623) 322-4639

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
53725
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
335031
AZ
Enumeration date
10/19/2010
Last updated
08/07/2020
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