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Individual

DR. MARTIN KOSCIUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 E JACKSON AVE, EMERGENCY DEPARTMENT, JONESBORO, AR 72401-3119
(870) 207-5234
Mailing address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(714) 454-6056

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R0048
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
E-6938
AR

Other

Enumeration date
08/13/2007
Last updated
01/22/2025
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