Individual
DR. REBECCA CONRAD DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5656 S POWER RD, SUITE 137, GILBERT, AZ 85295-8487
(480) 821-3616
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 821-3610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
130955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231384
—
AZ
01
—
9010088
ABOG BOARD CERTFITIED
—
Enumeration date
04/16/2007
Last updated
03/07/2023
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