Individual
MR. CHRISTOPHER MAX DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-7090
(505) 727-7096
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC 10-6000, ALBUQUERQUE, NM 87120
(505) 272-6487
(505) 272-4156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2021-0490
NM
390200000X
Student in an Organized Health Care Education/Training Program
1144617440
NM
Other
Enumeration date
04/24/2015
Last updated
08/31/2021
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