Individual
JOSEPH T COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1650 COCHRANE CIRCLE, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80906
(573) 999-5952
Mailing address
1650 COCHRANE CIRCLE, EVANS ARMY COMMUNITY HOSPITAL, FT. CARSON, CO 80913
(573) 999-5952
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1086039
NE
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/23/2009
Last updated
06/09/2022
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