Individual
DR. ANN E DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6255 QUEBEC PKWY, COMMERCE CITY, CO 80022-4812
(303) 286-8900
(303) 286-8260
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43031
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00307319
—
CO
Enumeration date
12/15/2005
Last updated
11/08/2013
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