David J Domin Md Pc

LBN: David J Domin Md Pc
David J Domin Md Pc is an health care organization with primary practice located at 5133 N Central Ave Ste 200, Phoenix AZ 85012-1438. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. David J Domin Md Pc can be contacted via phone (602) 264-1395, or through Domin, David J via phone (602) 264-1395.

Contact Information

Primary practice address
5133 N Central Ave Ste 200 Phoenix AZ 85012-1438
Phone: (602) 264-1395
Fax: (602) 264-2172
Website:
Map and Directions
Authorized official contact:
Name: Domin, David J Doctor of Medicine (MD)
Phone: (602) 264-1395

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30234 Arizona

Profile Details

NPI number 1033225214
LBN Legal business name David J Domin Md Pc
DBA Doing business as
Authorized official Domin, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 17th, 2008 - about 17 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 1033225214 NPPES
Arizona Other AZ0721260 BLUE CROSS BLUE SHIELD AZ
Arizona MEDICAID 761032 BLUE CROSS BLUE SHIELD AZ

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