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Individual

CHRISTOPHER DOMINGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
708 E MAIN ST, OAK GROVE, LA 71263-2500
(318) 428-3200
(318) 428-7896
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-3237
(318) 428-6180

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021327
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1494208
LA
Enumeration date
05/02/2006
Last updated
05/23/2025
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