DR. Amy Costello, M.D.

NPI #1144278318 in Ellsworth Afb, South Dakota

Provider Information

NPI Number: 1144278318
Entity Type: Individual
Name: DR. Amy Costello, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 4, 2006
Last Updated: Jun 8, 2016

Practice Location

Address: 2900 DOOLITTLE DR
City: Ellsworth Afb
State: South Dakota
ZIP Code: 57706-4821
Phone: (605) 385-3285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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