DEREK COSTA

PORT ORCHARD, WA
NPI1215082359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00024310)
Enumeration Date2007-01-25
Last Update Date2021-04-05
Business Address
DEREK COSTA M.D.
1400 POTTERY AVE
PORT ORCHARD, WA 98366-3711
Phone number: 360-895-5000
Mailing Address
DEREK COSTA M.D.
1400 POTTERY AVE
PORT ORCHARD, WA 98366-3711
Phone number: 360-895-5000
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