DR. BRIAN GRADISEK, D.P.M.

Podiatrist

Active Individual
NPI: 1700178092

Practice Address

1400 28TH ST STE 2
Boulder, CO 80303

Phone: (303) 449-2000

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 016005597 (IL)
Podiatrist - Foot & Ankle Surgery 213ES0103X No 0000766 (CO)

Frequently Asked Questions

NPI 1700178092 is the National Provider Identifier for DR. BRIAN GRADISEK, D.P.M., a Podiatrist provider located in Boulder, CO. This NPI was enumerated on May 5, 2011.
DR. BRIAN GRADISEK, D.P.M. practices at 1400 28TH ST STE 2, Boulder, CO 80303.

Quick Facts

NPI
1700178092
Type
Individual
Enumerated
May 5, 2011
Last Updated
Jul 27, 2016

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