Individual
MR. VICTOR JOSEPH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
2856 18TH ST S, HOMEWOOD, AL 35209-2510
(205) 879-2329
Mailing address
1127 30TH ST S, BIRMINGHAM, AL 35205-1103
(205) 354-3634
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPED2448
AL
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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