| Doctor Name: | DR. KOSTA P ANTONOPOULOS |
| NPI Number: | 1043521644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M |
| License Number: | SC006184 |
| Business Practice Address: | 5885 Sunnybrook Dr Ste E-100 Sioux City, IA - 511064203 |
| Business Phone Number: | 7122662700 |
| Business Fax Number: | 7122662718 |
| Mailing Address: | 5885 Sunnybrook Dr, Ste E-100 SIOUX CITY |
| State: | IA |
| Postal Code: | 511064203 |
| Phone Number: | 7122662700 |
| Fax Number: | 7122662718 |
| NPI Enumeration Date: | 06/29/2010 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC006184 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |