Individual
MEAGHAN DOMINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 CHILDRENS LN, DEPARTMENT OF PEDIATRIC CRITICAL CARE, NORFOLK, VA 23507-1910
(757) 668-7331
Mailing address
601 CHILDRENS LN, DEPARTMENT OF PEDIATRIC CRITICAL CARE, NORFOLK, VA 23507-1910
(757) 668-7331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101260295
VA
208000000X
Pediatrics Physician
22668
MS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101260295
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04531751
—
MS
Enumeration date
06/17/2010
Last updated
06/22/2023
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