Individual
JOSEPH M COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2121 N BALTIMORE ST, KIRKSVILLE, MO 63501-5110
(660) 342-0175
Mailing address
1920 SALTER PL, KIRKSVILLE, MO 63501-5165
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2014003755
MO
Other
Enumeration date
07/10/2010
Last updated
06/03/2022
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