IndividualActive
Dominik Rog, M.D.
NPI 1679863112 · Orthopaedic Hand Surgery Physician · Boulder, CO
Provider details
- NPI number
- 1679863112
- Entity type
- Individual
- Primary specialty
- Orthopaedic Hand Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0058794 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2750 Broadway St
Boulder, CO 80304-3573
Phone: (303) 440-3000
Approximate (ZIP-level) locationGet directions
Mailing address
2750 Broadway St
Boulder, CO 80304-3573
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2017-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.