| NPI | 1194803353 |
|---|---|
| Doing Business As | COSTA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P COSTA Owner 308-537-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 20028) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-10-16 |