# RICARDO C DOMINGO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598709362
- **Authorized official:** MRS. SHELLY D KNECHT (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (812) 663-7277

## Contact information

- **Practice address:** 955 N MICHIGAN AVE, GREENSBURG, IN 47240
- **Practice address phone:** (812) 663-7277
- **Practice address fax:** (812) 662-7307
- **Mailing address:** 955 N MICHIGAN AVE, GREENSBURG, IN 47240
- **Mailing address phone:** (812) 663-7277
- **Mailing address fax:** (812) 662-7307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IN | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 07/21/2022