Individual
MR. GEORGE A. MODRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
1399 S HAVANA ST, STE 102, AURORA, CO 80012-4020
(303) 984-4414
(303) 984-6244
Mailing address
9858 GLADES RD, STE D, BOCA RATON, FL 33434-3983
(303) 984-4414
(303) 984-6244
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
399
CO
Other
Enumeration date
05/16/2007
Last updated
10/25/2016
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