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ANTHONY M DOMINIC SR DO PC NPI 1922006204


NPI Information

NPI: 1922006204
Provider Name: ANTHONY M DOMINIC SR DO PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
850 S IRONWOOD DR
STE 104
APACHE JUNCTION, AZ
ZIP 85220
Phone: (480) 982-1265
Get Directions

ANTHONY M DOMINIC SR DO PC is a family medicine in Apache Junction, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANTHONY M DOMINIC SR DO PC NPI is 1922006204. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

850 S IRONWOOD DR
STE 104
APACHE JUNCTION, AZ
ZIP 85220-242
Phone: (480) 982-1265
Fax: (480) 982-8831

The provider's authorized official is Anthony M Dominic .
The authorized official title is President and has the following contact phone number (480) 982-1265.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 1/14/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine34002451OHIONo
2207Q00000XFamily Medicine1833ARIZONAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0390340OTHERARIZONABCBS
21Z0948OTHERARIZONAHEALTHNET
3160127MEDICAIDARIZONA
4E00614MEDICARE UPIN
525100MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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