# CADIRAMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194273003
- **Authorized official:** BEAU GERTZ (OWNER, PRESIDENT - SALES/OPERATIONS)
- **Authorized official phone:** (720) 477-0637

## Contact information

- **Practice address:** 4785 TEJON ST, STE, 300, DENVER, CO 80211-1200
- **Practice address phone:** (720) 477-0640
- **Practice address fax:** (720) 381-2582
- **Mailing address:** 4785 TEJON ST, STE, 300, DENVER, CO 80211-1200
- **Mailing address phone:** (720) 477-0640
- **Mailing address fax:** (720) 381-2582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2016
- **Last updated:** 09/20/2016