Individual provider · Type 1 NPI

E.l. Domingo-Johnson, MD

General Practice Physician · Chesterfield, MO

NPI number 1215516752 Active

Practice location

100 Chesterfield Business Pkwy Fl 2
Chesterfield, MO 63005-1271

Call (954) 399-4673 Map

Mailing address

3601 SW 160th Ave Ste 250
Miramar, FL 33027-6314

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000X2024043640 (MO)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

14 other providers at this address

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About NPI 1215516752

E.l. Domingo-Johnson, MD's National Provider Identifier is 1215516752, issued on Apr 2, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chesterfield, MO. The record was last updated on Dec 26, 2024.