| Mr David Alan Dominguez, PA-C | |
|
101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | |
| (707) 423-7611 | |
| (707) 423-3260 |
| Full Name | Mr David Alan Dominguez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 101 Bodin Circle, Travis Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356422521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13224 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David Alan Dominguez, PA-C 1525 W Winton Ave, Bldg. # 9, Hayward, CA 94545-1310 Ph: (510) 750-3157 | Mr David Alan Dominguez, PA-C 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 Ph: (707) 423-7611 |
Deanna Le, Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/omrs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-413-7295 | |
Susana Quezada Awad, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 60 Mdg/hcos, 101 Bodic Cir, Travis Afb, CA 94535 Phone: 707-423-3964 | |
Heidi Lynn Shelstad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Mr. Christopher Wayne Morales-phan, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sggpc, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 916-561-7793 | |
Austin Ryder Podratz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Kamille Resetz, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 531 Waldron St Ste D, Travis Afb, CA 94535 Phone: 707-424-3812 | |
Shawn M Hannah, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgcs, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3216 |