Individual
CHARLES RYAN SANTANIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Mailing address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0002575
CO
363AS0400X
Surgical Physician Assistant
PA2575
CO
Other
Enumeration date
03/17/2008
Last updated
11/20/2023
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