Individual
JULIAN DOMONIC CASTANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
422 ELBERT ST STE B, CASTLE ROCK, CO 80104-2411
(915) 319-2763
Mailing address
621 VERN BUTLER DR, EL PASO, TX 79932-1870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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