Individual
DOMINADOR G GOBALEZA III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 REILLY ROAD DDBH 6 NORTH, MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-6825
(910) 907-8521
Mailing address
2817 REILLY ROAD, MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D5D218
MD
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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