NPI 1700178092

Brian P Gradisek, DPM

Practitioner Podiatrist Boulder, CO

Practice location

Address: 1400 28th St STE 2, Boulder, CO 80303-1096
Phone: (303) 449-2000
Fax: (303) 449-9475

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 016005597 (IL)

Other Podiatrist providers in Colorado →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 016005597 (IL)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0000766 (CO)

Registry record

NPI: 1700178092
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2011
Record last updated: 27 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.