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Individual

DR. ANTHONY JOSEPH DOMENIGONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
203 SE PARK PLAZA DR, VANCOUVER, WA 98684-5886
(360) 449-7040
Mailing address
15023 SE PEBBLE BEACH DR, HAPPY VALLEY, OR 97086-7330
(503) 698-2869

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00353
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
PO00000777
WA

Other

Enumeration date
08/30/2006
Last updated
02/04/2022
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