Kostur, Gregory Daniel
Kostur, Gregory Daniel is an individual health care provider with primary practice located at 500 S 11Th Ave Ste 204 , Pocatello ID 83201-4878. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kostur, Gregory Daniel can be contacted via phone (208) 232-3355.Contact Information
Primary practice address
500 S 11Th Ave Ste 204
Pocatello ID 83201-4878
Phone: (208) 232-3355
Fax: (855) 230-7350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N3122 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M-14706 | Idaho |
Profile Details
| NPI number | 1447316799 |
|---|---|
| LBN Legal business name | Kostur, Gregory Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jan 6th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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