Organization
BRIAN P GRADISEK DPM PLLC
Active
Parent organization
BRIAN P GRADISEK DPM PLLC
Other names
Foot and Ankle Care Satellite Clinic, Foot and Ankle Care of Boulder County
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN P GRADISEK DPM PLLC
Authorized official
BRIAN P GRADISEK (OWNER)
(303) 449-2000
Entity
Organization
Contact information
Practice address
6200 W 9TH ST UNIT 1B, GREELEY, CO 80634-4462
(303) 449-2000
(303) 449-9475
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(303) 449-2000
(303) 449-9475
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
03/23/2023
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