Search › Colorado › 101YA0400X
Bradley Rusovick
NPI 1548703937 · on the registry since 2016 · sole proprietor
Practice
- Address
- 56 Duke St
200 West 'B' Street, Suite 226
Pueblo, CO 81005 - Phone
- (719) 334-1010
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado