EDWARD T COSTELLO

MALVERN, AR
NPI1730104340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PA-251)
Enumeration Date2006-07-13
Last Update Date2021-05-17
Business Address
Mr. EDWARD T COSTELLO P.A.
1002 SCHNEIDER DR SUITE 104
MALVERN, AR 72104-4816
Phone number: 501-332-7981
Mailing Address
Mr. EDWARD T COSTELLO P.A.
1002 SCHNEIDER DR SUITE 104
MALVERN, AR 72104-4816
Phone number: 501-332-7981
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