Rafael Eduardo Castillo
Specialist/Technologist, Other, Surgical Assistant in Boulder, CO. Individual provider (NPI-1).
NPI number1225533136
StatusActive
Last updated in NPPESMar 25, 2018
Details
- NPI
- 1225533136
- Entity type
- Individual (NPI-1)
- Name
- Rafael Eduardo Castillo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2018
- Last updated
- Mar 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 18107 | CO | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | CO | |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
6200 Habitat Dr Apt 2052Boulder, CO 80301-3235
Phone 720-281-6378
Mailing address
6200 Habitat Dr Apt 2052Boulder, CO 80301-3235
Phone 720-281-6378
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