Individual
RYAN JACK CASTORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
315 W BUSINESS LOOP 70, COLUMBIA, MO 65203-3248
(573) 882-3101
(573) 884-4540
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2024006336
MO
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2024006336
MO
Other
Enumeration date
05/20/2015
Last updated
03/05/2024
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