Individual
DOMINIC FRANCIS CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 B AVE., ZUNI, NM 87327
(505) 782-4431
Mailing address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-4431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD189105
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
03/10/2022
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