Individual
DR. BRIAN PAUL BRADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0056508
CO
208200000X
Plastic Surgery Physician
35098881
OH
208600000X
Surgery Physician
MT188778
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066268
—
OH
01
—
027080
KAISER COMMERCIAL NUMBER
CO
05
—
3810023423
—
WV
Enumeration date
03/18/2008
Last updated
05/04/2021
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