Individual
MANUEL D. GURULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13123 E 16TH AVE, B060, AURORA, CO 80045-7106
(720) 777-6600
(720) 777-7268
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0000689
CO
363AS0400X
Surgical Physician Assistant
689
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225125370
—
WY
05
—
1225125371
—
WY
05
—
200003940B
—
KS
05
—
23000872
—
CO
Enumeration date
10/09/2006
Last updated
10/16/2018
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