BRIAN RICHARD DECOSTA

JACKSON, TN
NPI1689620627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TN  36602)
Enumeration Date2006-05-25
Last Update Date2014-05-06
Business Address
Dr. BRIAN RICHARD DECOSTA M.D.
367 HOSPITAL BLVD
JACKSON, TN 38305-2080
Phone number: 731-300-0352
Mailing Address
Dr. BRIAN RICHARD DECOSTA M.D.
PO BOX 11686
JACKSON, TN 38308-0128
Phone number: 731-300-0352
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