Nathan Roesner, D.O.

Surgery Physician · Boulder, CO

Individual Active NPI

NPI number 1598886483

Practice location

2595 Canyon Blvd Ste 360
Boulder, CO 80302-6745
Phone
(303) 440-7546

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NPI record

NPI
1598886483
Entity type
Individual (Type 1)
Enumeration date
April 2, 2007
Last updated
October 20, 2021
Certified
October 20, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 50492 CO
Surgery Physician 208600000X 5101017089 MI

Mailing address

11700 W 2ND Pl
Medical Plaza 2 Ste 210
Lakewood, CO 80228-1704
Phone
(303) 909-6977
Fax
(303) 954-4779

About Dr. Roesner

Nathan Roesner, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2595 Canyon Blvd Ste 360, Boulder, CO 80302-6745. The NPI number 1598886483 was assigned on April 2, 2007 and the record was last updated on October 20, 2021.

Dr. Roesner lists 2 licenses in the registry: #50492 (CO) for Surgery Physician; #5101017089 (MI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nathan Roesner, D.O.?

The NPI number is 1598886483.

What is the phone number of Dr. Roesner?

The phone number listed for the practice location is (303) 440-7546.

Where is Dr. Roesner located?

2595 Canyon Blvd Ste 360, Boulder, CO 80302-6745.

What is the taxonomy code for Dr. Roesner?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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