Individual
DR. JAMES NEAL DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 S COLLEGE RD, SUITE 100, LAFAYETTE, LA 70503-2907
(337) 269-5840
(337) 237-7568
Mailing address
1245 S COLLEGE RD, STE 100, LAFAYETTE, LA 70503-2907
(337) 269-5840
(337) 237-7568
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
012702
LA
2084N0600X
Clinical Neurophysiology Physician
Primary
012702
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190497
—
LA
Enumeration date
06/08/2005
Last updated
10/30/2013
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