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Individual

DOMINIC ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
201 CEDAR ST SE STE 6600, ALBUQUERQUE, NM 87106-5411
(505) 724-4300
Mailing address
11055 FORT POINT LN NE, ALBUQUERQUE, NM 87123-2675
(505) 231-7136

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
10/26/2018
Last updated
10/26/2018
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