Individual
DR. DOMINIC CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
FILE 50421, LOS ANGELES, CA 90074-0001
(800) 793-3529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00040730
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730CO
REGENCE BS
—
01
—
204018
WA L & I
—
05
—
8323958
—
WA
01
—
8940418
WA CRIME VICTIM
—
01
—
H58804
GROUP HEALTH
—
01
—
P00287612
RAILROAD MEDICARE
—
Enumeration date
06/05/2006
Last updated
12/04/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us