Individual
MR. JOHN ANTHONY DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 S. 12 STREET, PHOENIX, AZ 85034-2301
(602) 495-5797
(602) 262-6201
Mailing address
3746 FOOTHILL BLVD B140, GLENDALE, CA 91214
(602) 495-5797
(602) 262-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3887
AZ
Other
Enumeration date
08/27/2009
Last updated
05/15/2024
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