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Andrew Richard Domer, PA-C
Surgical Physician Assistant in Colorado Springs, Colorado
NPI 1841231230

Andrew Richard Domer is a Surgical Physician Assistant based in Denver, CO and is specialized in Surgical. Andrew Richard Domer practices in Colorado Springs, CO and has the professional credentials of PA-C. The NPI Number for Andrew Richard Domer is 1841231230 and holds a License No. 4155 (Colorado).

The current practice location address for Andrew Richard Domer is 3920 N Union Blvd Ste 330, Colorado Springs, CO and can be reached out via phone at 719-570-7272 and via fax at 719-570-9030.

Location: 3920 N Union Blvd Ste 330, Colorado Springs, CO, 80230-7195
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Provider Profile Details
NPI Number
1841231230
Provider Name
Andrew Richard Domer
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3920 N Union Blvd Ste 330, Colorado Springs, CO, 80230-7195
Phone Number
719-570-7272
Fax Number
719-570-9030
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11561458 01 CAQH NUMBER
institution
Provider Business Practice Location Address Details
Address
3920 N Union Blvd Ste 330
City
State
Zip
80907-4916
Phone Number
719-570-7272
Fax Number
719-570-9030
person
Provider Business Mailing Address Details
Address
3920 N Union Blvd Ste 330
City
State
Zip
80907-4916
Phone Number
719-570-7272
Fax Number
719-570-9030
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4155 (Colorado)
Definition
Definition to come...
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