Individual
MAURO BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10280 W 55TH AVE, ARVADA, CO 80002-4925
(303) 914-6011
Mailing address
10055 RIDGE RD UNIT 2316, ARVADA, CO 80002-1283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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