Individual
BERNARD GEORGES CONDEVAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 GOLDEN RIDGE RD, STE 130, GOLDEN, CO 80401-9541
(720) 497-6616
(720) 497-6767
Mailing address
3025 ROBIN WAY, DENVER, CO 80222-7030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3832
LICENSE #
CO
Enumeration date
08/25/2006
Last updated
09/27/2016
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