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Contact Information

DOMINIQUE F CHAMPION, PA-C
3150 N TENAYA WAY STE 260
LAS VEGAS, NV89128-0459
 Phone: 702-962-5920
 Fax: 702-240-9984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOMINIQUE F CHAMPION · (Female)

NPI Number 1699282020
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/08/2018
Last updated 05/07/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PA-1334
  • IN License # 10004488A
  • MI License # 5601013904
  • NV License # PA1929
Hospital affiliation(s)
  • MOUNTAINVIEW HOSPITAL - (Acute Care)
    3100 N TENAYA WAY
    LAS VEGAS, NV 89128
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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