DANIEL THOMAS COSGRO

BEND, OR
NPI1972588572
Professional NameDAN THOMAS COSGRO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA00492)
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2005-12-07
Last Update Date2021-03-17
Business Address
Mr. DANIEL THOMAS COSGRO PA-C
2275 NE DOCTORS DR STE 6
BEND, OR 97701-6092
Phone number: 541-706-6915
Mailing Address
Mr. DANIEL THOMAS COSGRO PA-C
PO BOX 5579
BEND, OR 97708-5579
Phone number: 541-706-6915