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NPI Code Detail

MEDICARE: CONSULTANTS IN NEPHROLOGY AND HYPERTENSION PROFESSIONAL LLC

MEDICARE: CONSULTANTS IN NEPHROLOGY AND HYPERTENSION PROFESSIONAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DR.0037995OTHERCOCOLORADO MEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184261422
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONSULTANTS IN NEPHROLOGY AND HYPERTENSION PROFESSIONAL LLC
Provider Business Mailing Address
First Line : PO BOX 4940
Second Line :
City : OMAHA
State : NE
Zip : 68104-0940
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2352 MEADOWS BLVD STE 250
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-8417
Country : US
Telephone Number : 303-697-1636
Fax Number : 303-805-9948
Authorized Official
Title or Position : PRESIDENT
Name : OSCAR G DOMINGUEZ
Credential : MD
Telephone Number : 303-697-1636
Provider Enumeration Date : 12/05/2019
Last Update Date : 12/05/2019

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Directions to “CONSULTANTS IN NEPHROLOGY AND HYPERTENSION PROFESSIONAL LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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