MR. David Alan Dominguez, PA-C

NPI #1356422521 in Travis Afb, California

Provider Information

NPI Number: 1356422521
Entity Type: Individual
Name: MR. David Alan Dominguez, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 BODIN CIRCLE
Address 2: DAVID GRANT MEDICAL CENTER
City: Travis Afb
State: California
ZIP Code: 94535-1800
Phone: (707) 423-7611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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