Individual provider · Type 1 NPI

Dominic Joseph Bronson

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1104620913 Active

Practice location

3710 E Mcdowell Rd Apt 112
Phoenix, AZ 85008-4317

Call (480) 298-6677 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104620913

Dominic Joseph Bronson's National Provider Identifier is 1104620913, issued on Apr 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 2, 2025.