Anthony M Dominic Sr Do Pc
LBN: Anthony M Dominic Sr Do Pc
Anthony M Dominic Sr Do Pc is an health care organization with primary practice located at 850 S Ironwood Dr Ste 104, Apache Junction AZ 85220-6242. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Anthony M Dominic Sr Do Pc can be contacted via phone (480) 982-1265, or through Dominic, Anthony M via phone (480) 982-1265.
Contact Information
Primary practice address
850 S Ironwood Dr Ste 104
Apache Junction AZ 85220-6242
Phone: (480) 982-1265
Fax: (480) 982-8831
Website:
Authorized official contact:
Name: Dominic, Anthony M Doctor of Osteopathy (DO)
Phone: (480) 982-1265
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1833 | Arizona |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34002451 | Ohio |
Profile Details
| NPI number | 1922006204 |
|---|---|
| LBN Legal business name | Anthony M Dominic Sr Do Pc |
| DBA Doing business as | |
| Authorized official | Dominic, Anthony M Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 14th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922006204 | NPPES |
| Arizona | MEDICAID | 160127 | |
| Arizona | Other | 1Z0948 | |
| Arizona | Other | AZ0390340 |
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