Individual
CHRISTOPHER JULIUS COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2345 E SOUTHERN AVE, MESA, AZ 85204-5419
(480) 893-2345
(480) 926-0495
Mailing address
2345 E SOUTHERN AVE, MESA, AZ 85204-5419
(480) 893-2345
(480) 926-0495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7505
AZ
Other
Enumeration date
10/02/2018
Last updated
08/19/2024
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