Organization
MEDI CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RYAN SANTANIELLO PA-C (PART OWNER)
(303) 619-1215
Entity
Organization
Contact information
Practice address
11255 KILBERRY WAY, PARKER, CO 80134-3077
(303) 619-1215
Mailing address
11255 KILBERRY WAY, PARKER, CO 80134-3077
(303) 619-1215
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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