Douglass T. Domoto, M.d., J.d., P.c.
NPI #1124337373 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1124337373
- Entity Type
- Organization
- Organization Name
- Douglass T. Domoto, M.d., J.d., P.c.
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Oct 5, 2010
- Last Updated
- Oct 5, 2010
Practice Location
- Address
- 2606 CLARK AVE
- Address 2
- AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63103-2502
- Phone
- (314) 535-3720
Authorized Official
- Name
- DR. DOUGLASS TAKASHI DOMOTO, M.D., J.D.
- Title
- PRESIDENT
- Phone
- (314) 535-3720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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