# BRIAN P GRADISEK DPM PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIAN P GRADISEK DPM PLLC
- **Other names:** Foot and Ankle Care Satellite Clinic, Foot and Ankle Care of Boulder County
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568160604
- **Legal business name:** BRIAN P GRADISEK DPM PLLC
- **Authorized official:** BRIAN P GRADISEK (OWNER)
- **Authorized official phone:** (303) 449-2000

## Contact information

- **Practice address:** 6200 W 9TH ST UNIT 1B, GREELEY, CO 80634-4462
- **Practice address phone:** (303) 449-2000
- **Practice address fax:** (303) 449-9475
- **Mailing address:** PO BOX 21150, BOULDER, CO 80308-4150
- **Mailing address phone:** (303) 449-2000
- **Mailing address fax:** (303) 449-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2023
- **Last updated:** 03/23/2023