Individual
DR. JASON ALAN DOMINITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHS
Contact information
Practice address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM (111-S-GASTRO), SEATTLE, WA 98108-1532
(206) 277-3558
(206) 764-2232
Mailing address
1660 S COLUMBIAN WAY, VA PUGET SOUND HEALTH CARE SYSTEM (111-S-GASTRO), SEATTLE, WA 98108-1532
(206) 277-3558
(206) 764-2232
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00035341
WA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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