MARK JASON DOMINGUEZ

COVINGTON, LA
NPI1043428170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: LA  200251)
Enumeration Date2007-05-21
Last Update Date2016-03-16
Business Address
-- MARK JASON DOMINGUEZ M.D.
606 W 11TH AVE
COVINGTON, LA 70433-3630
Phone number: 985-892-3766
Mailing Address
-- MARK JASON DOMINGUEZ M.D.
PO BOX 54482
NEW ORLEANS, LA 70154-4482
Phone number: 985-898-3740
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