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Individual

DOMINICK J DIMAIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4186
(402) 559-6018
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4186
(402) 559-6018

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
21483
NE
207ZP0101X
Anatomic Pathology Physician
Primary
21483
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47078557547
NE
Enumeration date
05/03/2006
Last updated
06/24/2011
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