Organization
RICARDO C DOMINGO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY D KNECHT (OFFICE ADMINISTRATOR)
(812) 663-7277
Entity
Organization
Contact information
Practice address
955 N MICHIGAN AVE, GREENSBURG, IN 47240
(812) 663-7277
(812) 662-7307
Mailing address
955 N MICHIGAN AVE, GREENSBURG, IN 47240
(812) 663-7277
(812) 662-7307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Enumeration date
06/15/2006
Last updated
07/21/2022
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