(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1013910041
Provider Name: DOMINICK DETOMMASO D.P.M.
Entity Type: Individual
Taxonomy Code: 213ES0103X
Specialty: Podiatrist
License Number: 07000410A
Most Important Dates
Enumeration Date: 05/23/2005
Last Updated: 03/22/2016
Provider Practice Location
7601 W JEFFERSON BLVD
FORT WAYNE
IN
468044133
Practice Location Phone/Fax
Phone: 2604368686
Fax: 2604368585
Provider Mailing Location
7601 W JEFFERSON BLVD
FORT WAYNE
IN
468044133
Provider Mailing Phone/Fax
Phone: 2604368686
Fax: 2604368585
Suggested EMR
Podiatry EMR