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Cal Anthony Domingue, PA
Surgical Physician Assistant in Lafayette, Louisiana
NPI 1437134707

Cal Anthony Domingue is a Surgical Physician Assistant based in New Orleans, LA and is specialized in Surgical. Cal Anthony Domingue practices in Lafayette, LA and has the professional credentials of PA. The NPI Number for Cal Anthony Domingue is 1437134707 and holds a License No. A10610 (Louisiana).

The current practice location address for Cal Anthony Domingue is 5000 Ambassador Caffery Pkwy Bldg 14A, Lafayette, LA and can be reached out via phone at 337-470-3580 and via fax at 337-470-3586.

Location: 5000 Ambassador Caffery Pkwy Bldg 14A, Lafayette, LA, 70154-4422
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Provider Profile Details
NPI Number
1437134707
Provider Name
Cal Anthony Domingue
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5000 Ambassador Caffery Pkwy Bldg 14A, Lafayette, LA, 70154-4422
Phone Number
337-470-3580
Fax Number
337-470-3586
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1624861 05 LA
P00220721 01 LA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
5000 Ambassador Caffery Pkwy Bldg 14A
City
State
Zip
70508-6984
Phone Number
337-470-3580
Fax Number
337-470-3586
person
Provider Business Mailing Address Details
Address
5000 Ambassador Caffery Pkwy Bldg 14A
City
State
Zip
70508-6984
Phone Number
337-470-3580
Fax Number
337-470-3586
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A10610 (Louisiana)
Definition
Definition to come...
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