NPI 1235195785
Timothy D Costello, MD
Practice location
- Address
- 620 North Main, Harrison, AR 72601-2926
- Phone
- (870) 365-2000
- Mailing address
- 2080 Child St, Jacksonville, FL 32214-5005
Registered specialties (4)
Emergency Medicine Physician
Primary
Emergency Medicine Physician
Emergency Medicine Physician
General Practice Physician
Registry record
- NPI
- 1235195785
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Apr 2006
- Record last updated
- 25 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.