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1710983143
MICHAEL S DOMER
PHOENIX, AZ
NPI
1710983143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: AZ 30418)
Enumeration Date
2005-06-21
Last Update Date
2022-07-25
Business Address
Dr. MICHAEL S DOMER MD
3033 N 44TH ST STE 100
PHOENIX, AZ 85018-7227
Phone number: 602-631-3161
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Mailing Address
Dr. MICHAEL S DOMER MD
PO BOX 80217
PHOENIX, AZ 85060-0217
Phone number: 602-385-2115
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