DOUGLASS TAKASHI DOMOTO

SAINT LOUIS, MO
NPI1588764724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: MO  R6C21)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
Dr. DOUGLASS TAKASHI DOMOTO M.D., J.D.
2606 CLARK AVE
SAINT LOUIS, MO 63103-2502
Phone number: 314-535-3720
Mailing Address
Dr. DOUGLASS TAKASHI DOMOTO M.D., J.D.
2606 CLARK AVE
SAINT LOUIS, MO 63103-2502
Phone number: 314-535-3720
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