Organization · Type 2 NPI

Brian P Gradisek DPM PLLC

Foot & Ankle Surgery Podiatrist · Boulder, CO

NPI number 1154890291 Active

Practice location

1400 28th St Ste 2
Boulder, CO 80303-1096

Call (303) 449-2000 Map

Fax (303) 449-9475

Mailing address

PO Box 21150
Boulder, CO 80308-4150

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

3 other providers at this address

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NPI record

NPI: 1154890291
Entity type: Organization (Type 2)
Issued: Nov 19, 2018
Last updated: Feb 17, 2023
Status: Active

Other names

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Foot & Ankle Care of Boulder County · doing business as
Foot and Ankle Care of Boulder County · doing business as

Authorized official

Brian P Gradisek, DPM
Owner
(303) 449-2000

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About NPI 1154890291

Brian P Gradisek DPM PLLC's National Provider Identifier is 1154890291, issued on Nov 19, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Boulder, CO. The record was last updated on Feb 17, 2023.