Individual
DR. DAVID J DOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5133 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-1438
(602) 264-8015
(602) 264-2172
Mailing address
PO BOX 37615, PHOENIX, AZ 85069-7615
(602) 277-2268
(602) 944-2543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30234
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761032
—
AZ
01
—
AZ0721260
BLUECROSS BLUESHIELD AZ
AZ
Enumeration date
01/27/2006
Last updated
08/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us