NPI
Omar L Dominique
NPI 1770996050
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2014-06-04
- Last updated
- 2025-01-11
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Specialties
Licenses
- License AZ
- 59823
- License IA
- MD-46257
- License MS
- 926-L
- License IL
- 036-144834
Location
- Practice location
- 1760 E Pecos Rd Ste 431
- City
- Gilbert AZ
- Postal code
- 85295-3209
- Phone
- (480) 237-3451
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Gilbert, AZ. 7,825 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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