| NPI | 1568160604 |
|---|---|
| Doing Business As | FOOT AND ANKLE CARE OF BOULDER COUNTY |
| Entity Type | Organization |
| Authorized Contact | BRIAN P GRADISEK Owner 303-449-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-03-23 |