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NPI Code Detail

MEDICARE: DOMINIC VANCHIERI DO

MEDICARE: DOMINIC VANCHIERI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) PhysicianOS019590PA

General Provider Information

NPI Number : 1366978611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIC VANCHIERI DO
Provider Business Mailing Address
First Line : 4950 BUFFALO RD
Second Line :
City : ERIE
State : PA
Zip : 16510-2304
Country : US
Telephone Number : 814-899-7000
Fax Number : 814-899-0334
Provider Business Practice Location Address
First Line : 4950 BUFFALO RD
Second Line :
City : ERIE
State : PA
Zip : 16510-2304
Country : US
Telephone Number : 814-899-7000
Fax Number : 814-899-0334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 06/09/2026

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Directions to “ DOMINIC VANCHIERI DO” Practice Location

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