Michael A Domino in Albuquerque - Physician Assistant

Michael A Domino - NPI 1689837916

Michael A Domino is a Physician Assistant in Albuquerque, New Mexico. Michael A Domino practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael A Domino is 1689837916. The last update date is 2023-11-20.

Michael A Domino's current location address is 2704 Sierra Dr Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052382027. The mailing address for Michael A Domino is 2704 Sierra Dr Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael A Domino
Address 2704 Sierra Dr Ne, Albuquerque, New Mexico
Phone Number 5052382027
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1689837916
Provider Enumeration Date 2008-07-07
Last Updated Date 2023-11-20

Provider Mailing Address Detail

Address 2704 Sierra Dr Ne
City Albuquerque
State New Mexico (NM)
Post Code 871102944
Phone Number 5052382027
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA2008-0031
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Michael A Domino

What is the Michael A Domino's unique identification number?

The Michael A Domino has been assigned the NPI (National Provider Identifier) Number 1689837916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Michael A Domino is physically located?

The Michael A Domino is physically situated at the following address: 2704 Sierra Dr Ne, Albuquerque, NM, 871102944.

What is the Michael A Domino's area of specialization and corresponding taxonomy classification?

The Michael A Domino's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When did Michael A Domino receive its 1689837916 assignment?

The Michael A Domino was assigned its 1689837916 on 2008-07-07, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Michael A Domino most recently updated or revised?

The information pertaining to Michael A Domino, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-20.

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