Individual
RAFAEL EDUARDO CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 HABITAT DR APT 2052, BOULDER, CO 80301-3235
(720) 281-6378
Mailing address
6200 HABITAT DR APT 2052, BOULDER, CO 80301-3235
(720) 281-6378
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18107
CO
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
CO
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/25/2018
Last updated
03/25/2018
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