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
ZIP Code
80913-4603
Phone
(719) 244-2286

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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