Individual provider · Type 1 NPI

Anthony Joseph Domenigoni, D.P.M.

Foot & Ankle Surgery Podiatrist · Vancouver, WA

NPI number 1124137187 Active

Practice location

203 SE Park Plaza Dr
Vancouver, WA 98684-5886

Mailing address

15023 SE Pebble Beach Dr
Happy Valley, OR 97086-7330

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XPO00000777 (WA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XDP00353 (OR)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1124137187

Anthony Joseph Domenigoni, D.P.M.'s National Provider Identifier is 1124137187, issued on Aug 30, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Vancouver, WA. The record was last updated on Feb 4, 2022.