Organization
CONSULTANTS IN NEPHROLOGY AND HYPERTENSION PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR G DOMINGUEZ MD (PRESIDENT)
(303) 697-1636
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD STE 250, CASTLE ROCK, CO 80109-8417
(303) 697-1636
(303) 805-9948
Mailing address
PO BOX 4940, OMAHA, NE 68104-0940
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74724797
—
CO
01
—
DR.0037995
COLORADO MEDICAL LICENSE
CO
Enumeration date
12/05/2019
Last updated
12/05/2019
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