Organization
REAL RESULTS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J. DOMINGUEZ MD (MD)
(504) 590-4061
Entity
Organization
Contact information
Practice address
606 W. 11TH AVE., SUITE B, COVINGTON, LA 70433
(985) 590-4061
(985) 231-4727
Mailing address
606 W. 11TH AVE., SUITE B, COVINGTON, LA 70433
(985) 590-4061
(985) 231-4727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/26/2012
Last updated
01/23/2015
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