Individual
CHRISTINA LYNN KOSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3530 E SPAULDING AVE, PUEBLO, CO 81008-2209
(719) 296-9000
(719) 296-9001
Mailing address
3530 E SPAULDING AVE, PUEBLO, CO 81008-2209
(719) 296-9000
(719) 296-9001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2014021822
MO
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0063364
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
63364
CO
Other
Enumeration date
07/22/2014
Last updated
05/16/2024
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