Douglass T. Domoto, MD, J.d., PC
Douglass T. Domoto, MD, J.d., PC provides Nephrology Physician services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2010.
- Licensed in
- MO
- In the registry since
- 2010
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2606 Clark Ave AveSaint Louis, MO 63103-2502 Not confirmed with CMS for 15 years — call before visiting
Phone: (314) 535-3720
Fax: (314) 535-7391
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X · Licence R6C21 (MO) |
|---|
Record details
| NPI number | 1124337373 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglass Domoto — President · (314) 535-3720 |
| NPI enumerated | October 5, 2010 |
| Last updated in NPPES | October 5, 2010 |
| Mailing address | 2606 Clark Ave, Saint Louis, MO 63103-2502 |
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