David J Domin Md Pc - Phoenix, AZ

David J Domin Md Pc

Specialist in Phoenix, Arizona

NPI 1033225214

David J Domin Md Pc is a Specialist based in Phoenix, AZ. David J Domin Md Pc practices in Phoenix, AZ. The NPI Number for David J Domin Md Pc is 1033225214 and holds a License No. 30234 (Arizona).

The current practice location address for David J Domin Md Pc is 5133 N Central Ave, Phoenix, AZ and can be reached out via phone at 602-264-1395 and via fax at 602-264-2172.

Location: 5133 N Central Ave, Phoenix, AZ, 85012-1438

NPI Number

1033225214

Provider Name

David J Domin Md Pc

Credential

Provider Entity Type

Organization

Address

5133 N Central Ave, Phoenix, AZ, 85012-1438

Phone Number

602-264-1395

Fax Number

602-264-2172

Provider Enumeration Date

08/21/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
AZ0721260	01	AZ	BLUE CROSS BLUE SHIELD AZ
761032	05	AZ

Address

5133 N Central Ave

City

Phoenix

State

Arizona

Zip

85012-1438

Phone Number

602-264-1395

Fax Number

602-264-2172

Address

5133 N Central Ave

City

Phoenix

State

Arizona

Zip

85012-1438

Phone Number

602-264-1395

Fax Number

602-264-2172

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

30234 (Arizona)

Definition

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.

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