NPI 1083029011 · live from the CMS NPI Registry
Jordan Gozdzialski, M.D.
Anesthesiology in Boulder, CO. National Provider Identifier 1083029011, active.
NPI record
| NPI | 1083029011 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 4747 Arapahoe Ave, Boulder, CO 80303 |
| Practice phone | 303-415-7000 |
| Mailing address | Po Box 17389, Denver, CO 80217 |
| Enumerated | June 28, 2014 |
| Last updated | April 13, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | DR.0062308 (CO) |
| Anesthesiology | 207L00000X | 30797 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.