MRS. Leah Harmon Costello, PA

NPI #1588073738 in Malvern, Arkansas

Provider Information

NPI Number: 1588073738
Entity Type: Individual
Name: MRS. Leah Harmon Costello, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 12, 2014
Last Updated: May 17, 2021

Practice Location

Address: 1002 SCHNEIDER DR STE 104
City: Malvern
State: Arkansas
ZIP Code: 72104-4823
Phone: (501) 332-7981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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