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NPI Code Detail

MEDICARE: DAVID B DOMAN MD

MEDICARE: DAVID B DOMAN MD
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
1207RG0100XGastroenterology PhysicianD0026057MD

General Provider Information

NPI Number : 1700889631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID B DOMAN MD
Provider Business Mailing Address
First Line : 12012 VEIRS MILL RD
Second Line :
City : WHEATON
State : MD
Zip : 20906-4513
Country : US
Telephone Number : 301-942-3550
Fax Number : 301-933-3621
Provider Business Practice Location Address
First Line : 12012 VEIRS MILL RD
Second Line :
City : WHEATON
State : MD
Zip : 20906-4513
Country : US
Telephone Number : 301-942-3550
Fax Number : 301-933-3621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/28/2013

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Directions to “ DAVID B DOMAN MD” Practice Location

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