Phillip W Kostroun, REGISTERED DIETITIAN
NPI #1003924002 in San Antonio, Texas
Provider Information
- NPI Number
- 1003924002
- Entity Type
- Individual
- Name
- Phillip W Kostroun, REGISTERED DIETITIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- REGISTERED DIETITIAN
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5107 MEDICAL DR
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78229
- Phone
- (210) 614-8612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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