Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLINT M. COSTANZA, PA
ActiveMR. CLINT M. COSTANZA, PA is a Surgical Physician Assistant healthcare provider located in BATON ROUGE, Louisiana. NPI 1619266954 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BATON ROUGE, LA
Registration Details
- NPI Number
- 1619266954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2011 (15.358587534982 yrs)
- Last Updated
- Apr 9, 2013
- License
-
PA.200436 (LA)
Practice Information
- Address
-
9001 SUMMA AVEBATON ROUGE, LA, 708093726Browse LA providers · Browse ZIP 70809
- Phone
- 2257615200
- Fax
- 2257615702
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL HUANG | PA-C | 1417942632 |
| SHAWNA NIKIA JEIDER | PA | 1891784914 |
| SANDRA F DEFELICE | PA | 1750370870 |
| CHELINH D PHUNG | PA | 1447249578 |
| ABIGAIL P PENEGUY | PA | 1326037458 |
| MARK F. LOUPE | PA | 1659361509 |
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.