Individual
DR. JEFFREY R GAGLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4820 RIVERBEND RD STE 200, BOULDER, CO 80301-2618
(303) 665-0286
(303) 666-5112
Mailing address
4820 RIVERBEND RD STE 200, BOULDER, CO 80301-2618
(303) 665-0286
(303) 453-2998
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45465
CO
207X00000X
Orthopaedic Surgery Physician
A86240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649301631
—
MT
05
—
1649301631
—
VA
05
—
800021
—
AZ
05
—
98025350
—
CO
Enumeration date
03/08/2007
Last updated
06/07/2022
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