| Anthony M Dominic Sr Do Pc | |
|
850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 | |
| (480) 982-1265 | |
| (480) 982-8831 |
| Full Name | Anthony M Dominic Sr Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 850 S Ironwood Dr, Apache Junction, Arizona |
| Authorized Official Name and Position | Anthony M Dominic (PRESIDENT) |
| Authorized Official Contact | 4809821265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony M Dominic Sr Do Pc 850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 Ph: (480) 982-1265 | Anthony M Dominic Sr Do Pc 850 S Ironwood Dr Ste 104 Apache Junction AZ 85220-6242 Ph: (480) 982-1265 |
| NPI Number | 1922006204 |
|---|---|
| Provider Enumeration Date | 07/12/2005 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922006204 | NPI | - | NPPES |
| 160127 | Medicaid | AZ | |
| 1Z0948 | Other | AZ | HEALTHNET |
| AZ0390340 | Other | AZ | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34002451 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | 1833 (Arizona) | Primary |
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