Individual
MR. STEPHEN RAY KOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
935 WAYNE RD, SAVANNAH, TN 38372-1937
(731) 926-8179
Mailing address
PO BOX 1531, SAVANNAH, TN 38372-4531
(731) 926-8179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R858883
MS
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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