| NPI | 1154890291 |
|---|---|
| Doing Business As | FOOT AND ANKLE CARE OF BOULDER COUNTY |
| Doing Business As | FOOT & ANKLE CARE OF BOULDER COUNTY |
| Entity Type | Organization |
| Authorized Contact | BRIAN P GRADISEK Owner 303-449-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2023-02-17 |