TODD CHARLES COSLETT

PHOENIX, AZ
NPI1013485762
Former NameJACK MCCAIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: AZ  6692924)
Enumeration Date2018-11-09
Last Update Date2018-11-09
Business Address
Dr. TODD CHARLES COSLETT MD
4149 W KALER DR
PHOENIX, AZ 85055
Phone number: 224-267-5388
Mailing Address
Dr. TODD CHARLES COSLETT MD
4149 W KALER DR
PHOENIX, AZ 85051-7329
Phone number: 484-821-6248