DAVID J DOMIN MD PC NPI 1033225214

NPI Information

DAVID J DOMIN MD PC is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAVID J DOMIN MD PC NPI is 1033225214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5133 N CENTRAL AVE
STE 200
PHOENIX, AZ
ZIP 85012-438
Phone: (602) 264-1395
Fax: (602) 264-2172

The provider's authorized official is David J Domin .
The authorized official title is President and has the following contact phone number (602) 264-1395.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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