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Daniel G Costello, PA
Medical Physician Assistant in Lakewood, Colorado
NPI 1063415156

Daniel G Costello is a Medical Physician Assistant based in Kenai, CO and is specialized in Medical. Daniel G Costello practices in Lakewood, CO and has the professional credentials of PA. The NPI Number for Daniel G Costello is 1063415156 and holds a License No. PA2004-0044 (Colorado).

The current practice location address for Daniel G Costello is 1526 Cole Blvd Ste 300, Lakewood, CO and can be reached out via phone at 303-379-9371 and via fax at 303-423-7004. You can also correspond with Daniel G Costello through the mailing address at 10543 KENAI SPUR HWY, KENAI, AK - 99611-7812 (mailing address contact number: 907-395-0463).

Location: 1526 Cole Blvd Ste 300, Lakewood, CO, 99611-7812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063415156
Provider Name
Daniel G Costello
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1526 Cole Blvd Ste 300, Lakewood, CO, 99611-7812
Phone Number
303-379-9371
Fax Number
303-423-7004
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97259365 05 CO
1687798 05 AK
institution
Provider Business Practice Location Address Details
Address
1526 Cole Blvd Ste 300
City
Lakewood
State
Colorado
Zip
80401-3410
Phone Number
303-379-9371
Fax Number
303-423-7004
person
Provider Business Mailing Address Details
Address
10543 Kenai Spur Hwy
City
Kenai
State
Alaska
Zip
99611-7812
Phone Number
907-395-0463
Fax Number
907-395-0483
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2300 (Colorado)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA2004-0044 (New Mexico)
Definition
Definition to come...
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