Individual
MR. GREGORY J RODOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19751 E MAINSTREET STE 253, PARKER, CO 80138-7405
(303) 953-9924
(303) 990-5049
Mailing address
19751 E MAINSTREET STE 253, PARKER, CO 80138-7405
(303) 953-9924
(303) 990-5049
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
04S678
CO
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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