Individual
DR. NATHAN J SUSNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W SOUTH BOULDER RD STE 200, LAFAYETTE, CO 80026-2088
(720) 932-7719
(720) 890-0364
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
(720) 890-0364
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DR.0054243
CO
207RT0003X
Transplant Hepatology Physician
DR.0054243
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028861
KAISER COMMERCIAL NUMBER
CO
05
—
53276311
—
CO
Enumeration date
01/26/2007
Last updated
04/17/2025
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