Anthony M Dominic Sr Do Pc | |
850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 | |
(480) 982-1265 | |
(480) 982-8831 |
Full Name | Anthony M Dominic Sr Do Pc |
---|---|
Speciality | Family Medicine |
Location | 850 S Ironwood Dr, Apache Junction, Arizona |
Authorized Official Name and Position | Anthony M Dominic (PRESIDENT) |
Authorized Official Contact | 4809821265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anthony M Dominic Sr Do Pc 850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 Ph: (480) 982-1265 | Anthony M Dominic Sr Do Pc 850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 Ph: (480) 982-1265 |
NPI Number | 1922006204 |
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Provider Enumeration Date | 07/12/2005 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922006204 | NPI | - | NPPES |
160127 | Medicaid | AZ | |
1Z0948 | Other | AZ | HEALTHNET |
AZ0390340 | Other | AZ | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1833 (Arizona) | Primary |
207Q00000X | Family Medicine | 34002451 (Ohio) | Secondary |
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