Provider Demographics
NPI:1144387937
Name:SANTISTEVAN, RUEBEN CHARLES (DC, DIPL AC)
Entity Type:Individual
Prefix:DR
First Name:RUEBEN
Middle Name:CHARLES
Last Name:SANTISTEVAN
Suffix:
Gender:M
Credentials:DC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1040 S GAYLORD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4682
Mailing Address - Country:US
Mailing Address - Phone:303-698-2225
Mailing Address - Fax:303-698-2890
Practice Address - Street 1:1040 S GAYLORD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4682
Practice Address - Country:US
Practice Address - Phone:303-698-2225
Practice Address - Fax:303-698-2890
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor