Individual
DOMINIQUE IGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2802 MADISON SQUARE DR, 100, LOVELAND, CO 80538-3396
(970) 221-9451
(970) 416-9676
Mailing address
PO BOX 40065, DENVER, CO 80204-0065
(720) 580-8001
(720) 580-8001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3369
CO
Other
Enumeration date
03/28/2012
Last updated
08/05/2016
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