Dr Deana Louise Dominguez, DO is a
Preventive Medicine - Occupational Medicine physician based in Grand Forks Afb, North Dakota. Dr Deana Louise Dominguez is licensed to practice in Texas (license number R1361) and her current practice location is 1599 Jones St, Grand Forks Afb, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 747-5601.
NPI number for Dr Deana Louise Dominguez is 1952401010 and her current mailing address is 1599 Jones St, Grand Forks Afb, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952401010.
Physician's Profile
| Full Name | Dr Deana Louise Dominguez |
|---|
| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1599 Jones St, Grand Forks Afb, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952401010
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 12/03/2025
Medical Identifiers
Medical identifiers for Dr Deana Louise Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952401010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R1361 (Texas) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | R1361 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Deana Louise Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Deana Louise Dominguez, DO
1599 Jones St,
Grand Forks Afb, ND 58205
Ph: (701) 747-5601 | Dr Deana Louise Dominguez, DO
1599 Jones St,
Grand Forks Afb, ND 58205
Ph: (701) 747-5601 |
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