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Organization
HEALTHY YOU
Active
Organization
HEALTHY YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR L. DOMINIQUE MD (OWNER/PRESIDENT)
(872) 212-7966
Entity
Organization
Contact information
Practice address
1760 E PECOS RD STE 431, GILBERT, AZ 85295-3209
(480) 237-3451
(480) 499-5666
Mailing address
1760 E PECOS RD STE 431, GILBERT, AZ 85295-3209
(872) 212-7966
(480) 499-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02887009
—
MS
01
—
1770996050
NPI
MS
Enumeration date
06/24/2020
Last updated
01/11/2025
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