Katherine Costello, MD

NPI #1619104916 in Shiprock, New Mexico

Provider Information

NPI Number: 1619104916
Entity Type: Individual
Name: Katherine Costello, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 15, 2009
Last Updated: Sep 25, 2015

Practice Location

Address: US HWY 491 NORTH
City: Shiprock
State: New Mexico
ZIP Code: 87420
Phone: (505) 368-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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