Individual
MR. DAVID ANTHONY DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
814 CAROLINE AVE, JUNCTION CITY, KS 66441-5210
(785) 762-5250
(785) 762-2144
Mailing address
814 CAROLINE AVE, JUNCTION CITY, KS 66441-5210
(785) 762-5250
(785) 762-2144
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
112063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005013
—
NC
Enumeration date
09/20/2006
Last updated
04/06/2018
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