Individual
MARK A. RADLAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4567 E. 9TH AVENUE, DENVER, CO 80220-5337
(303) 320-2455
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30468
CO
207P00000X
Emergency Medicine Physician
DR.0030468
CO
207P00000X
Emergency Medicine Physician
Primary
KS-0440272
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01304682
—
CO
01
—
930052350
RAILROAD MEDICARE
CO
Enumeration date
12/27/2005
Last updated
11/15/2017
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