Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 40322 | CO |
N | 207XS0117X | Orthopaedic Spine Surgeon | 40322 | CO |
NPI | 1356388045 |
---|---|
Provider Name | Bryan Andrew Castro |
First Address | Wheat Ridge, CO 80033-6028 |
Second Address | Westminster, CO 80023-9328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 17/03/2018 |