Individual
JAMES GLENN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 MORRIS RD, CIRCLEVILLE, OH 43113-1362
(740) 477-6511
(740) 477-6888
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 533-6497
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50000759
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067382
—
OH
Enumeration date
10/18/2006
Last updated
06/07/2022
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