Individual
DR. JOHANNA KANERVA DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
4848 E CACTUS RD, SUITE 940, SCOTTSDALE, AZ 85254-4163
(480) 443-0050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29475
AZ
208000000X
Pediatrics Physician
Primary
U6945
TX
Other
Enumeration date
03/07/2012
Last updated
07/25/2024
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