Individual
DR. RAUL P DOMINGUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
314 BASIN ST SW, EPHRATA, WA 98823-1850
(509) 662-1511
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00048233
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054604
—
WA
Enumeration date
03/24/2007
Last updated
03/21/2024
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