Individual
MR. MARIO CARLO CAPOCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Mailing address
1805 SHEA CENTER DR STE 301, HIGHLANDS RANCH, CO 80129-2251
(303) 357-2559
(720) 439-2456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1593
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95254072
—
CO
Enumeration date
11/22/2006
Last updated
02/13/2020
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