Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD T COSTELLO, P.A.
ActiveMR. EDWARD T COSTELLO, P.A. is a Physician Assistant healthcare provider located in MALVERN, Arkansas. NPI 1730104340 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MALVERN, AR
Registration Details
- NPI Number
- 1730104340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.043741558373 yrs)
- Last Updated
- May 17, 2021
- License
-
PA-251 (AR)
Practice Information
- Address
-
1002 SCHNEIDER DRSUITE 104MALVERN, AR, 721044816Browse AR providers · Browse ZIP 72104
- Phone
- 5013327981
- Fax
- 5013379964
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MALVERN, AR
| Name | Credential | NPI |
|---|---|---|
| MS. DARA M MOONEY | PA-C | 1609979426 |
| MRS. LEAH HARMON COSTELLO | PA | 1588073738 |
| HALEY BETH HOBSON | PA-C | 1346735735 |
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.