Mark Jason Dominguez, M.D.

NPI #1043428170 in Covington, Louisiana

Provider Information

NPI Number: 1043428170
Entity Type: Individual
Name: Mark Jason Dominguez, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: May 21, 2007
Last Updated: Mar 16, 2016

Practice Location

Address: 606 W 11TH AVE
City: Covington
State: Louisiana
ZIP Code: 70433-3630
Phone: (985) 892-3766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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