Individual
MR. HARRY BUDISIDHARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD
Contact information
Practice address
1537 ALTON ST, AURORA, CO 80010-1712
(303) 923-6370
(303) 923-2951
Mailing address
1537 ALTON ST, AURORA, CO 80010-1712
(303) 923-6370
(303) 923-2951
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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