MR. Brian L. Costello, PA-C
NPI #1154306454 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1154306454
- Entity Type
- Individual
- Name
- MR. Brian L. Costello, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Dec 8, 2005
- Last Updated
- Sep 26, 2016
Practice Location
- Address
- 5310 HOMESTEAD RD NE
- Address 2
- SUITE 301
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87110-1437
- Phone
- (505) 872-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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