Individual
DR. PAUL MICHAEL JUDISCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7700 S BROADWAY, LITTLETON, CO 80122-2602
(303) 730-8900
(303) 738-7755
Mailing address
10099 RIDGEGATE PKWY, SUITE 120, LONE TREE, CO 80124-5531
(719) 671-4054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL.0006558
CO
208M00000X
Hospitalist Physician
Primary
DR.0062246
CO
Other
Enumeration date
04/28/2017
Last updated
07/21/2020
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