Individual
DR. NATHAN ROESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2595 CANYON BLVD STE 360, BOULDER, CO 80302-6745
(303) 440-7546
Mailing address
11700 W 2ND PL, MEDICAL PLAZA 2 STE 210, LAKEWOOD, CO 80228-1704
(303) 909-6977
(303) 954-4779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50492
CO
208600000X
Surgery Physician
5101017089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75531267
—
CO
Enumeration date
04/02/2007
Last updated
10/20/2021
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