Individual
DR. DOMINIC ANDREW MASSARY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4803 W HIGHLAND KNOLLS RD STE 300, ROGERS, AR 72758-6447
(479) 265-4746
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
E-19002
AR
208600000X
Surgery Physician
LL37201
SC
390200000X
Student in an Organized Health Care Education/Training Program
RTL19-0635
NC
Other
Enumeration date
06/18/2014
Last updated
06/20/2025
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