Individual
CHRISTOPHER BRITT DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BUILDING 139, SOTF, FORT BRAGG, NC 28307-5000
(910) 643-0729
Mailing address
46 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 715-5809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010-05392
NC
363AM0700X
Medical Physician Assistant
1062273
TX
Other
Enumeration date
08/25/2005
Last updated
08/22/2019
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