Search › Arkansas › 208M00000X
Corey Costantino, M.D
NPI 1700225794 · on the registry since 2013
Practice
- Address
- 3215 N North Hills Blvd
Fayetteville, AR 72703 - Phone
- (479) 463-7102
- Fax
- (479) 463-7864
- Organisation at this address
- Washington Regional Medical System
Washington Regional Medical System
Washington Regional Medical SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 3181 Sw Sam Jackson Park Rd, Portland, OR
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207R00000X
- Licence states on file
- LA, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-29
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 Arkansas