NPI 1083793905
Michael Dennis Domash, MD
Practice location
- Address
- 2215 Broadway St, Vancouver, WA 98663-3226
- Phone
- (360) 906-7156
- Fax
- (360) 696-3658
Registered specialties
Psychiatry Physician
Primary
Registry record
- NPI
- 1083793905
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Nov 2006
- Record last updated
- 8 Jul 2007
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.