Mateo Dominguez

NPI 1700298403 · on the registry since 2014 · sole proprietor

Practice

Address: 5861 Arctic Blvd
Suite D
Anchorage, AK 99518
Phone: (907) 561-1600
Fax: (907) 561-1601
Organisation at this address: Amia Healthcare Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-05-29

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 Alaska