NPI 1205544897

Sarah Ann Domingue

Practitioner Physician Assistant Jefferson City, MO

Practice location

Address: 2505 Mission Dr, Jefferson City, MO 65109-9508
Phone: (573) 681-3100

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1205544897
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2022
Record last updated: 11 Nov 2022

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.