Individual
DR. ANTHONY M DOMINIC JR.
Active
Individual
DR. ANTHONY M DOMINIC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009032905
MO
207L00000X
Anesthesiology Physician
Primary
34.011117
OH
207L00000X
Anesthesiology Physician
DO-777
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552547
—
AL
Enumeration date
06/16/2006
Last updated
06/29/2020
Update your record
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