Anthony M Dominic Sr Do Pc

LBN: Anthony M Dominic Sr Do Pc
Anthony M Dominic Sr Do Pc is an health care organization with primary practice located at 850 S Ironwood Dr Ste 104, Apache Junction AZ 85220-6242. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Anthony M Dominic Sr Do Pc can be contacted via phone (480) 982-1265, or through Dominic, Anthony M via phone (480) 982-1265.

Contact Information

Primary practice address
850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242
Phone: (480) 982-1265
Fax: (480) 982-8831
Website:
Map and Directions
Authorized official contact:
Name: Dominic, Anthony M Doctor of Osteopathy (DO)
Phone: (480) 982-1265

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1833 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34002451 Ohio

Profile Details

NPI number 1922006204
LBN Legal business name Anthony M Dominic Sr Do Pc
DBA Doing business as
Authorized official Dominic, Anthony M Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Jan 14th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922006204 NPPES
Arizona MEDICAID 160127
Arizona Other 1Z0948
Arizona Other AZ0390340

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