Peter N Costa, MD
Physical Medicine & Rehabilitation in Carson City, NV. Individual provider (NPI-1).
NPI number1821089293
StatusActive
Last updated in NPPESJul 20, 2021
Details
- NPI
- 1821089293
- Entity type
- Individual (NPI-1)
- Name
- Peter N Costa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2005
- Certification date
- Jul 20, 2021
- Last updated
- Jul 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 7813 | NV | Yes |
| 208100000X | Physical Medicine & Rehabilitation | G70318 | CA |
Practice location
973 Mica DriveSuite 201
Carson City, NV 89705-7255
Phone 775-783-6190 · Fax 775-783-6191
Mailing address
973 Mica DrSuite 201
Carson City, NV 89705-7255
Phone 775-783-6190 · Fax 775-783-6191
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