Organization · Type 2 NPI

MB Costello Enterprises LLC

Pain Medicine (Anesthesiology) Physician · Jackson, MS

NPI number 1982996567 Active

Practice location

1501 Lakeland Dr Ste 251
Jackson, MS 39216-4848

Fax (601) 321-8001

Mailing address

1501 Lakeland Dr, Suite 251
Jackson, MS 39216-4834

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician Primary 207LP2900XNone listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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About NPI 1982996567

MB Costello Enterprises LLC's National Provider Identifier is 1982996567, issued on May 13, 2011. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Jackson, MS. The record was last updated on Sep 29, 2011.