Individual
DR. DOMINIC JOSEPH GAZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 404, CHARLESTON, WV 25304-1223
(304) 346-1811
(304) 343-3086
Mailing address
3100 MACCORKLE AVE SE, SUITE 404, CHARLESTON, WV 25304-1223
(304) 346-1811
(304) 343-3086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08871
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002854
—
WV
Enumeration date
11/01/2006
Last updated
02/28/2013
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