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MR. DAVID ALAN DOMINGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
101 BODIN CIRCLE, DAVID GRANT MEDICAL CENTER, TRAVIS AFB, CA 94535-1800
(707) 423-7611
(707) 423-3260
Mailing address
1525 W WINTON AVE, BLDG. # 9, HAYWARD, CA 94545-1310
(510) 750-3157
(510) 293-1809

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13224
CA

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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