IAN COSTELLO

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1962375022

Practice Address

4881 SUGAR MAPLE DR
Wright Patterson Afb, OH 45433

Phone: (937) 257-6877

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1962375022 is the National Provider Identifier for IAN COSTELLO, a Student in an Organized Health Care Education/Training Program provider located in Wright Patterson Afb, OH. This NPI was enumerated on September 25, 2025.
IAN COSTELLO practices at 4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433.

Quick Facts

NPI
1962375022
Type
Individual
Enumerated
Sep 25, 2025
Last Updated
Sep 25, 2025

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