Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARC O COSTLEY
Active Sole ProprietorMARC O COSTLEY is a Podiatric Surgery healthcare provider located in OAKDALE, California. NPI 1811547771 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · OAKDALE, CA
Registration Details
- NPI Number
- 1811547771
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2019 (6.9470683005026 yrs)
- Last Updated
- Sep 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2728 OAKHURST DROAKDALE, CA, 953619233Browse CA providers · Browse ZIP 95361
- Phone
- 2098403456
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.