Dr DANIEL G COSTELLO PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.
R LYNN CARLSON MD PC MEDICENTER
10543 KENAI SPUR HWY
KENAI
AK
996117812
Tel: 9072839118
| Npi | 1063415156 |
| Pac Id | 3678527066 |
| Professional Enrollment Id | I20181030002940 |
| Last Name | COSTELLO |
| First Name | DANIEL |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | R LYNN CARLSON MD PC MEDICENTER |
| Group Practice Pac Id | 9830084177 |
| Number Of Group Practice Members | 17 |
| Line 1 Street Address | 10543 KENAI SPUR HWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KENAI |
| State | AK |
| Zip Code | 996117812 |
| Phone Number | 9072839118 |
| Hospital Affiliation Ccn 1 | 020024 |
| Hospital Affiliation Lbn 1 | CENTRAL PENINSULA GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | M |
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