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Individual

NICHOLAS GLENN COST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E. 16TH AVENUE, THE CHILDREN'S HOSPITAL, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, UNIVERSITY PHYSICIANS, INC., AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
N4361
TX
2088P0231X
Pediatric Urology Physician
Primary
DR.0051893
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP2-0026710
INSTITUTIONAL PERMIT
Enumeration date
06/13/2007
Last updated
11/30/2018
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