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KOSTA P ANTONOPOULOS, D.P.M – NPI #1043521644
Surgery, Foot & Ankle

NPI Profile for Dr KOSTA P ANTONOPOULOS in SIOUX CITY, IA.

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Contact Information

KOSTA P ANTONOPOULOS, D.P.M
5885 SUNNYBROOK DR
STE E-100
SIOUX CITY, IA  51106-4203
 Phone: 712-266-2700
 Fax: 712-266-2718
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KOSTA P ANTONOPOULOS · (Male)

NPI Number 1043521644
Status Active
Credentials D.P.M
Entity Individual
Enumeration date 06/29/2010
Last updated 07/27/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 000869
  • PA License # SC006184
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    2720 STONE PARK BOULEVARD
    SIOUX CITY, IA 51104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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