Dr CHRISTOPHER MARK DOMINGUE MD is a male medical professional, specializing in Family Medicine. He graduated in 1991 from Louisiana State University School Of Medicine In Shreveport.
706 ROSS ST
OAK GROVE
LA
712639798
Tel: 3184284964
| Npi | 1073571824 |
| Pac Id | 6002717857 |
| Professional Enrollment Id | I20040115000794 |
| Last Name | DOMINGUE |
| First Name | CHRISTOPHER |
| Middle Name | MARK |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 706 ROSS ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OAK GROVE |
| State | LA |
| Zip Code | 712639798 |
| Phone Number | 3184284964 |
| Hospital Affiliation Ccn 1 | 190081 |
| Hospital Affiliation Lbn 1 | WEST CARROLL MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190125 |
| Hospital Affiliation Lbn 2 | ST FRANCIS MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 190116 |
| Hospital Affiliation Lbn 3 | MOREHOUSE GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 190160 |
| Hospital Affiliation Lbn 4 | GLENWOOD REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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