Individual
SEAN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
291 N FIREWEED ST, SOLDOTNA, AK 99669-7540
(907) 714-5950
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-6999
(907) 714-4404
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
230513
AK
390200000X
Student in an Organized Health Care Education/Training Program
R78572
AZ
Other
Enumeration date
04/21/2021
Last updated
07/30/2025
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