Melanie Dominguez, PA-C

NPI 1629668546 · on the registry since 2021 · sole proprietor

Practice

Address: 13995 W Statler Blvd Ste 150
Surprise, AZ 85374
Phone: (805) 560-4464
Organisation at this address: Richard Lee Averitte Jr., Pllc
Banner Physician Specialists Arizona Llc
Banner Primary Care Physicians Arizona Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 59

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona