Organization
CADIRAMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU GERTZ (OWNER, PRESIDENT - SALES/OPERATIONS)
(720) 477-0637
Entity
Organization
Contact information
Practice address
4785 TEJON ST, STE, 300, DENVER, CO 80211-1200
(720) 477-0640
(720) 381-2582
Mailing address
4785 TEJON ST, STE, 300, DENVER, CO 80211-1200
(720) 477-0640
(720) 381-2582
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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