Individual
DR. MARK GILL KOSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, STE 330, JACKSON, MS 39202-2027
(601) 353-2020
(601) 352-5988
Mailing address
1200 N STATE ST, STE 330, JACKSON, MS 39202-2027
(601) 353-2020
(601) 714-5110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23717
MS
207W00000X
Ophthalmology Physician
MD.33192
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05508385
—
MS
Enumeration date
05/11/2010
Last updated
03/18/2019
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