MRS. Tracie Tue Dominguez, PA-C
NPI #1790011757 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1790011757
- Entity Type
- Individual
- Name
- MRS. Tracie Tue Dominguez, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 27, 2009
- Last Updated
- Dec 6, 2022
Practice Location
- Address
- 1650 COCHRANE CIR
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913-4603
- Phone
- (719) 244-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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