Individual
ISABELLE MONTEIRO BARROSO DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
902 LAKEVIEW AVE, PUEBLO, CO 81004-3597
(719) 557-5855
(719) 557-5097
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL.0009569
CO
208D00000X
General Practice Physician
DR.0073796
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0009569
CO
Other
Enumeration date
03/20/2023
Last updated
09/26/2024
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