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Organization
SUSAN DOMINIC, M.D., INC.
Active
Organization
SUSAN DOMINIC, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN RENEE DOMINIC M.D. (OWNER/PHYSICIAN)
(559) 246-4497
Entity
Organization
Contact information
Practice address
7780 N FRESNO ST, SUITE 100, FRESNO, CA 93720-2413
(559) 493-5760
(559) 493-5292
Mailing address
7780 N FRESNO ST, SUITE 100, FRESNO, CA 93720-2413
(559) 493-5760
(559) 493-5292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G68190
CA
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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