Individual
CARLOS DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 686-3000
Mailing address
1701 E 12TH ST APT W17Q, CLEVELAND, OH 44114-3236
(816) 752-4268
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
APP-000942953
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
APP-000942953
OH
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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