Individual
JOHN DAVID RADLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
(303) 296-8826
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 312-2217
(303) 293-2309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1845
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38804743
—
CO
Enumeration date
02/14/2007
Last updated
03/19/2019
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