TALIA KOSTICK
Family Medicine
Active
Individual
NPI: 1114423050
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 12264897-1205 (UT) |
Frequently Asked Questions
NPI 1114423050 is the National Provider Identifier for TALIA KOSTICK, a Family Medicine provider located in Santa Rosa, CA. This NPI was enumerated on March 31, 2018.
TALIA KOSTICK practices at 3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403.
Quick Facts
- NPI
- 1114423050
- Type
- Individual
- Enumerated
- Mar 31, 2018
- Last Updated
- Jun 22, 2021
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