Individual
ADRIAN COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(816) 461-8288
(816) 461-6586
Mailing address
PO BOX 1660, INDEPENDENCE, MO 64055-0660
(816) 461-8288
(816) 461-6586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2003004589
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208780700
—
MO
Enumeration date
06/18/2006
Last updated
11/05/2007
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