Individual
MR. DOMINIC DAMIAN FREEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6750 E BAYWOOD AVE # 503, MESA, AZ 85206-1749
(712) 389-2418
Mailing address
6750 E BAYWOOD AVE # 503, MESA, AZ 85206-1749
(712) 389-2418
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6781
AZ
Other
Enumeration date
12/29/2015
Last updated
06/14/2024
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