Individual
DR. SAM TOM ROUGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 E 19TH AVE, #5000, DENVER, CO 80218-1216
(303) 839-7100
(303) 839-7249
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 750-0822
(303) 750-1298
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
52644
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649416843
—
WY
05
—
36786845
—
CO
Enumeration date
12/18/2008
Last updated
02/11/2022
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