Susan Dominic, Md., Inc. | |
7780 N Fresno St Ste 100 Fresno CA 93720-2413 | |
(559) 493-5760 | |
(559) 493-5292 |
Full Name | Susan Dominic, Md., Inc. |
---|---|
Speciality | Internal Medicine |
Location | 7780 N Fresno St Ste 100, Fresno, California |
Authorized Official Name and Position | Susan Dominic (OWNER / CEO) |
Authorized Official Contact | 5594935760 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susan Dominic, Md., Inc. 7780 N Fresno St Ste 100 Fresno CA 93720-2413 Ph: (559) 493-5760 | Susan Dominic, Md., Inc. 7780 N Fresno St Ste 100 Fresno CA 93720-2413 Ph: (559) 493-5760 |
NPI Number | 1205242153 |
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Provider Enumeration Date | 07/10/2014 |
Last Update Date | 07/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205242153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G68190 (California) | Primary |
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