Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY DANIEL KOSTUR, M.D.
ActivePediatrics · POCATELLO, ID
Registration Details
- NPI Number
- 1447316799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2006 (19.328311941051 yrs)
- Last Updated
- Jan 6, 2024
- Licenses
-
N3122 (TX)M-14706 (ID)
Practice Information
- Address
-
500 S 11TH AVE STE 204POCATELLO, ID, 832014878Browse ID providers · Browse ZIP 83201
- Phone
- 2082323355
- Fax
- 8552307350
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| MATTHEW A STELZER | MD | 1609844471 |
| DR. SHAUN STEPHEN SUMMERILL | M.D. | 1497807044 |
| BRIAN C FULKS | MD | 1730367517 |
| LAURA M DUTY | M.D. | 1992950802 |
| ALISON MARIE MCINTURFF | M.D. | 1346507845 |
| DAVID J LARSEN | M.D. | 1932527827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.