MR. DOMINIC MORENO, MED, ATC, LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1639227929
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | AT 386 (AR) |
Frequently Asked Questions
NPI 1639227929 is the National Provider Identifier for MR. DOMINIC MORENO, MED, ATC, LAT, a Specialist/Technologist - Athletic Trainer provider located in Conway, AR. This NPI was enumerated on January 5, 2007.
MR. DOMINIC MORENO, MED, ATC, LAT practices at 128 UCA PRINCE CTR, 201 DONAGHEY, Conway, AR 72035.
Quick Facts
- NPI
- 1639227929
- Type
- Individual
- Enumerated
- Jan 5, 2007
- Last Updated
- Jul 8, 2007
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