IndividualActive
E.l. Domingo-Johnson, MD
NPI 1215516752 · General Practice Physician · Chesterfield, MO
Provider details
- NPI number
- 1215516752
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Practice location
100 Chesterfield Business Pkwy Fl 2
Chesterfield, MO 63005-1271
Phone: (954) 399-4673
Mailing address
3601 Sw 160th Ave Ste 250
Miramar, FL 33027-6314
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.