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NPI Code Detail

MEDICARE: DR. ERNEST R CASTRO MD

MEDICARE: DR. ERNEST R CASTRO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician44082CO

General Provider Information

NPI Number : 1982785721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERNEST R CASTRO MD
Provider Business Mailing Address
First Line : 1707 COLE BLVD
Second Line : SUITE 100
City : GOLDEN
State : CO
Zip : 80401-3219
Country : US
Telephone Number : 303-716-8013
Fax Number : 303-763-5495
Provider Business Practice Location Address
First Line : 1707 COLE BLVD
Second Line : SUITE 150
City : GOLDEN
State : CO
Zip : 80401-3219
Country : US
Telephone Number : 303-233-8295
Fax Number : 303-233-8443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 10/04/2013

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