Individual
ROBERT JAVIER DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
784 E MAIN ST, LANCASTER, OH 43130-3983
(740) 687-0100
(740) 687-0145
Mailing address
784 E MAIN ST, LANCASTER, OH 43130-3983
(740) 687-0100
(740) 687-0145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35053076D
OH
207Q00000X
Family Medicine Physician
35053076D
OH
208D00000X
General Practice Physician
35053076D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0613161
—
OH
01
—
35053076D
OHIO MEDICAL LICENSE
OH
Enumeration date
10/06/2005
Last updated
06/08/2011
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