Organization
NEUROSPINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVANAND A. DOMINIQUE MD (OWNER)
(717) 545-7100
Entity
Organization
Contact information
Practice address
845 SIR THOMAS CT, SUITE # 1, HARRISBURG, PA 17109-4843
(717) 545-7100
(717) 545-8100
Mailing address
845 SIR THOMAS CT, SUITE # 1, HARRISBURG, PA 17109-4843
(717) 545-7100
(717) 545-8100
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
PA
Other
Enumeration date
11/28/2012
Last updated
11/29/2012
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