Individual
RANDAL DEAN BJERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 ALPINE AVE, SUITE 150, BOULDER, CO 80304-3495
(303) 444-2150
(303) 442-3363
Mailing address
5450 WESTERN AVE, SUITE B, BOULDER, CO 80301-2709
(303) 415-4770
(303) 415-4769
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
DR.0020554
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01205541
—
CO
Enumeration date
08/08/2006
Last updated
04/11/2016
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