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1841231230
ANDREW RICHARD DOMER
COLORADO SPRINGS, CO
NPI
1841231230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CO 4155)
Enumeration Date
2006-06-09
Last Update Date
2021-06-11
Business Address
ANDREW RICHARD DOMER PA-C
3920 N UNION BLVD STE 330
COLORADO SPRINGS, CO 80907-4916
Phone number: 719-570-7272
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Mailing Address
ANDREW RICHARD DOMER PA-C
8101 E LOWRY BLVD STE 120
DENVER, CO 80230-7195
Phone number: 303-806-1998
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