Individual
DR. PETER LAURENCE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 BALSAM AVE, BOULDER, CO 80304-3404
(303) 422-9438
(303) 422-9474
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44534
CO
208100000X
Physical Medicine & Rehabilitation Physician
R5985
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44534
LICENSE
CO
Enumeration date
06/05/2006
Last updated
08/16/2023
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