Individual provider · Type 1 NPI

Edward T. Costello, P.A.

Physician Assistant · Malvern, AR

NPI number 1730104340 Active

Practice location

1002 Schneider Dr, Suite 104
Malvern, AR 72104-4816

Fax (501) 337-9964

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-251 (AR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1730104340

Edward T. Costello, P.A.'s National Provider Identifier is 1730104340, issued on Jul 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Malvern, AR. The record was last updated on May 17, 2021.