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Individual

DR. SANTO KOLM RICCERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0064630
CO
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029392
KAISER COMMERCIAL NUMBER
CO
Enumeration date
03/28/2017
Last updated
07/31/2023
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