Individual
RAUL M GIERBOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014672
KAISER COMMERCIAL NUMBER
CO
05
—
24083381
—
CO
Enumeration date
08/11/2006
Last updated
11/06/2019
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