NPI 1033225214

David J Domin MD PC

Organisation Specialist Phoenix, AZ

Practice location

Address: 5133 N Central Ave STE 200, Phoenix, AZ 85012-1438
Phone: (602) 264-1395
Fax: (602) 264-2172

Authorised official

Name: David J Domin
Title: President
Phone: (602) 264-1395

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 30234 (AZ)

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Registry record

NPI: 1033225214
Entity type: Organization
NPI issued: 21 Aug 2006
Record last updated: 17 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.