| NPI | 1740322239 |
|---|---|
| Former Legal Business Name | RAPHAEL J DANGELO MD |
| Entity Type | Organization |
| Authorized Contact | RAPHAEL JOSEPH DANGELO Corporate Manager 303-690-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 31535) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 31535) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO 31535) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |