CAL ANTHONY DOMINGUE

LAFAYETTE, LA
NPI1437134707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: LA  A10610)
Enumeration Date2005-12-09
Last Update Date2015-12-31
Business Address
CAL ANTHONY DOMINGUE PA
5000 AMBASSADOR CAFFERY PKWY BLDG 14A
LAFAYETTE, LA 70508-6984
Phone number: 337-470-3580
Mailing Address
CAL ANTHONY DOMINGUE PA
PO BOX 54422
NEW ORLEANS, LA 70154-4422
Phone number: 337-470-3580
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