JOHN ANTHONY DOMINGUEZ

PHOENIX, AZ
NPI1588897359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  3887)
Enumeration Date2009-08-27
Last Update Date2024-05-15
Business Address
Mr. JOHN ANTHONY DOMINGUEZ
150 S. 12 STREET
PHOENIX, AZ 85034-2301
Phone number: 602-495-5797
Mailing Address
Mr. JOHN ANTHONY DOMINGUEZ
3746 FOOTHILL BLVD B140
GLENDALE, CA 91214
Phone number: 602-495-5797