Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stevenson Dominique, PA

Individual provider Physician Assistant · NPI 1912536301

Stevenson Dominique, PA is a Physician Assistant in Phoenix, Arizona. Licensed in Puerto Rico. Registered with an NPI since 2020.

Licensed in
PR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8046 N 19th Dr
Phoenix, AZ 85021-5154
Phone: (786) 356-1865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 000512-P.A. (PR)
Physician Assistant Taxonomy 363A00000X · Licence 000512-P.A. (PR)

Record details

NPI number1912536301
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

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