Individual
DR. JORDAN GOZDZIALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1131
(303) 415-7000
Mailing address
PO BOX 17389, DENVER, CO 80217-0389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30797
NE
207L00000X
Anesthesiology Physician
Primary
DR.0062308
CO
Other
Enumeration date
06/28/2014
Last updated
04/13/2022
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