Dominique C D'Souza, MD Valid NPI

Individual provider · Family Medicine Physician · O Fallon, IL

NPI

1861078206

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

036.169372 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2021-03-23

Last updated

2024-08-08