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Search › Missouri › 207R00000X

John Costello, M.D

NPI 1417062563 · on the registry since 2006 · sole proprietor

Practice

Address
2821 N Ballas Rd
Suite 165
Saint Louis, MO 63131
Phone
(314) 995-9988
Fax
(866) 847-8598
Organisation at this address
Ballasdental
Basso Family Llc
Psych Health Llc
Nuset St. Louis Llc
Pear Tree Home Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207RR0500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri