Sarah Ann Domingue

NPI #1205544897 in Jefferson City, Missouri

Provider Information

NPI Number: 1205544897
Entity Type: Individual
Name: Sarah Ann Domingue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 11, 2022
Last Updated: Nov 11, 2022

Practice Location

Address: 2505 MISSION DR
City: Jefferson City
State: Missouri
ZIP Code: 65109-9508
Phone: (573) 681-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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