Individual provider · Type 1 NPI

Alison Jean Dominguez, P.A.

Medical Physician Assistant · Concord, NC

NPI number 1740245224 Active

Practice location

1070 Vinehaven Dr NE
Concord, NC 28025-2438

Fax (704) 783-1850

Mailing address

PO Box 36351
Charlotte, NC 28236-6351

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X102840 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1740245224

Alison Jean Dominguez, P.A.'s National Provider Identifier is 1740245224, issued on Apr 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Concord, NC. The record was last updated on Jan 6, 2010.