ALEX R. CUDKOWICZ, M.D.,P.C.
Medical Practice at Mildred Rd, Cortez, CO

License number
Colorado 34477
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: ALEX RAIMES CUDKOWICZ M.D.
Title: PRESIDENT
Phone: (970) 564-2089
Address
Address
1311 N Mildred Rd, Cortez, CO 81321
National Provider ID: 1508846551
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALEX R. CUDKOWICZ, MD, PC

Cortez, CO  -  Phoenix, AZ

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
ALEX R CUDKOWICZ, MD, PC<br>ALEX R. CUDKOWICZ, M.D., PC
Registration:
Jul 26, 1999
Addresses:
1311 N Mildred Rd, Cortez, CO 81321 (Physical)
1011 N Mildred Rd, Cortez, CO 81321 (Physical)
% 2394 E Camelback Rd, Phoenix, AZ 85016 (Foreign)
State ID:
1459490-0143
Business type:
Corporation - Foreign - Profit
Expiration:
Perpetual
President, Medical Doctor:
Alex R Cudkowicz (President, Medical Doctor), 1023 S Oak St, Cortez, CO 81321 (Physical)
Agent:
Keith Phelps,12061 S 2740 W, Riverton, UT 84065 (Physical)

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