Individual
OSCAR G DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9397 CROWN CREST BLVD., SUITE 401, PARKER, CO 80138-8575
(303) 697-1636
(303) 805-9948
Mailing address
9397 CROWN CREST BLVD., SUITE 401, PARKER, CO 80138-8575
(303) 697-1636
(303) 805-9948
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DR0037995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74724797
—
CO
Enumeration date
02/27/2006
Last updated
04/05/2018
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