| NPI | 1972588572 |
|---|---|
| Professional Name | DAN THOMAS COSGRO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: OR PA00492) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-03-17 |