# MEDI CO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962038539
- **Authorized official:** MR. CHARLES RYAN SANTANIELLO PA-C (PART OWNER)
- **Authorized official phone:** (303) 619-1215

## Contact information

- **Practice address:** 11255 KILBERRY WAY, PARKER, CO 80134-3077
- **Practice address phone:** (303) 619-1215
- **Mailing address:** 11255 KILBERRY WAY, PARKER, CO 80134-3077
- **Mailing address phone:** (303) 619-1215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2020
- **Last updated:** 03/16/2020