Organization
ABRAHAM OWUSU-DOMMEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM OWUSU DOMMEY M.D. (OWNER)
(480) 821-9339
Entity
Organization
Contact information
Practice address
3303 S LINDSAY RD, STE 123, GILBERT, AZ 85297-1503
(480) 821-9339
(480) 821-9555
Mailing address
PO BOX 2510, MESA, AZ 85214-2510
(480) 821-9339
(480) 821-9555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26852
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491176
—
AZ
Enumeration date
06/16/2006
Last updated
10/17/2024
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