BRIAN JOHN COSTELLO

WALNUT CREEK, CA
NPI1396833257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA15532)
Enumeration Date2006-10-10
Last Update Date2023-01-23
Business Address
Mr. BRIAN JOHN COSTELLO Physician Assistant
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598-5906
Phone number: 925-939-8585
Mailing Address
Mr. BRIAN JOHN COSTELLO Physician Assistant
PO BOX 31396
WALNUT CREEK, CA 94598-8396
Phone number: 925-939-8585
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