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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DALLAS LEE DOMANGUE, MD

Active

DALLAS LEE DOMANGUE, MD is a Anesthesiology healthcare provider located in JACKSON, Mississippi. NPI 1205413010 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · JACKSON, MS

Registration Details

NPI Number
1205413010
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2021 (5.3698210997435 yrs)
Last Updated
Jul 3, 2021
License
T-4248 (MS)

Practice Information

Address
2500 N STATE ST
JACKSON, MS, 392164500
Browse MS providers · Browse ZIP 39216
Phone
6019841000
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in JACKSON, MS

Name Credential NPI
JOHN W BETHEA JR. MD 1568462141
DR. MARION WALTER TOWERY M.D. 1649244179
DR. CANDACE KELLER MD 1346207362
MOEEN K PANNI M.D. 1699712091
DR. SEMYON FISHKIN MD 1912945973
EDWIN P SUDDUTH M.D. 1003854670
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.