Sean D Domzalski, PA-C

NPI #1003213919 in Wilkes-Barre, Pennsylvania

Provider Information

NPI Number
1003213919
Entity Type
Individual
Name
Sean D Domzalski, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Nov 21, 2014
Last Updated
Sep 21, 2015

Practice Location

Address
150 MUNDY STREET
Address 2
MAC IV BUILDING
ZIP Code
18702
Phone
(570) 824-0930

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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