Talia Kostick
Talia Kostick is a Student in an Organized Health Care Education/Training Program in Santa Rosa, California. Works from 2 locations. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5781
Phone: (707) 583-8800
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4745 S 3200 W, Taylorsville, UT 84129-2822 — (801) 964-6214
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 12264897-1205 (UT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1114423050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 31, 2018 |
| Last updated in NPPES | June 22, 2021 |
| Certification date | June 22, 2021 |
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