Tim D Dominick, PA-C
NPI #1033536354 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1033536354
- Entity Type
- Individual
- Name
- Tim D Dominick, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 25, 2014
- Last Updated
- Jun 8, 2020
Practice Location
- Address
- 1400 JOHNSTON WILLIS DR STE A
- State
- Virginia
- ZIP Code
- 23235-4765
- Phone
- (804) 379-8088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant |
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