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Organization
FOOT AND ANKLE CARE OF BOULDER COUNTY
Active
Organization
FOOT AND ANKLE CARE OF BOULDER COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GRADISEK DPM (OWNER)
(303) 449-2000
Entity
Organization
Contact information
Practice address
1400 28TH ST STE 2, BOULDER, CO 80303-1096
(303) 449-2000
(303) 449-9475
Mailing address
1400 28TH ST STE 2, BOULDER, CO 80303-1096
(303) 449-2000
(303) 449-9475
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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