Dr FREDERICK M COSTELLO is a male medical professional, specializing in Interventional Cardiology. He graduated in 2001 from University Of Washington School Of Medicine.
ST LUKES CLINIC-TREASURE VALLEY LLC
3101 E STATE ST
EAGLE
ID
836166232
Tel:
| Npi | 1285851337 |
| Pac Id | 6406926948 |
| Professional Enrollment Id | I20080610000335 |
| Last Name | COSTELLO |
| First Name | FREDERICK |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Group Practice Pac Id | 4981878402 |
| Number Of Group Practice Members | 746 |
| Line 1 Street Address | 3101 E STATE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAGLE |
| State | ID |
| Zip Code | 836166232 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 130006 |
| Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130071 |
| Hospital Affiliation Lbn 2 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 131312 |
| Hospital Affiliation Lbn 3 | ST LUKE'S MCCALL |
| Hospital Affiliation Ccn 4 | 131311 |
| Hospital Affiliation Lbn 4 | ST LUKE'S ELMORE MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | 130007 |
| Hospital Affiliation Lbn 5 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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