Individual
DR. JEFFREY TODD DOMINGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2100 S MARION RD, SIOUX FALLS, SD 57106-3646
(605) 322-5180
(605) 322-1301
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 782-8305
(605) 336-1677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
237
SD
213ES0103X
Foot & Ankle Surgery Podiatrist
682
CO
Other
Enumeration date
07/31/2006
Last updated
07/16/2019
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