ANTHONY KYLE CARCELLA

BOULDER, CO
NPI1699856377
Professional NameANTHONY K. CARCELLA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA.0002333)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CO  2333)
Enumeration Date2006-10-18
Last Update Date2019-08-13
Business Address
ANTHONY KYLE CARCELLA
4747 ARAPAHOE AVE
BOULDER, CO 80303
Phone number: 303-415-7000
Mailing Address
ANTHONY KYLE CARCELLA
PO BOX 173894
DENVER, CO 80217-3894
Phone number: 303-306-7783