Antonio Lee Covello Jr., SA-C
Specialist/Technologist, Other, Surgical Assistant in Aurora, CO. Individual provider (NPI-1).
NPI number1003936618
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1003936618
- Entity type
- Individual (NPI-1)
- Name
- Mr. Antonio Lee Covello Jr.
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2007
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | Yes |
| 171W00000X | Contractor | – | – |
Practice location
5183 S Coolidge StAurora, CO 80016-4023
Phone 720-837-7992 · Fax 303-955-6464
Mailing address
21200 S Lagrange Rd Ste 322Frankfort, IL 60423-2003
Phone 720-837-7992 · Fax 303-955-6464
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