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Dr. Brian P Gradisek, DPM
Foot & Ankle Surgery Podiatrist in Boulder, Colorado
NPI 1700178092

Brian P Gradisek is a Foot & Ankle Surgery Podiatrist based in Boulder, CO and is specialized in Foot & Ankle Surgery. Brian P Gradisek practices in Boulder, CO and has the professional credentials of DPM. The NPI Number for Brian P Gradisek is 1700178092 and holds a License No. 016005597 (Colorado).

The current practice location address for Brian P Gradisek is 1400 28Th St Ste 2, Boulder, CO and can be reached out via phone at 303-449-2000 and via fax at 303-449-9475. You can also correspond with Brian P Gradisek through the mailing address at 1400 28TH ST STE 2, BOULDER, CO - 80303-1096 (mailing address contact number: 303-449-2000).

Location: 1400 28Th St Ste 2, Boulder, CO, 80303-1096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700178092
Provider Name
Brian P Gradisek
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1400 28Th St Ste 2, Boulder, CO, 80303-1096
Phone Number
303-449-2000
Fax Number
303-449-9475
Provider Enumeration Date
05/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016005597 05 IL
institution
Provider Business Practice Location Address Details
Address
1400 28Th St Ste 2
City
Boulder
State
Colorado
Zip
80303-1096
Phone Number
303-449-2000
Fax Number
303-449-9475
person
Provider Business Mailing Address Details
Address
1400 28Th St Ste 2
City
Boulder
State
Colorado
Zip
80303-1096
Phone Number
303-449-2000
Fax Number
303-449-9475
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016005597 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016005597 (Illinois)
Definition
Definition to come...
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