Organization
DOMINION PATHOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH NEWMAN MD (PATHOLOGIST PRESIDENT)
(540) 981-7271
Entity
Organization
Contact information
Practice address
1 RIVERSIDE CIR STE 105, ROANOKE, VA 24016-4961
(540) 581-0155
Mailing address
PO BOX 746167, ATLANTA, GA 30374-6167
(540) 581-0155
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020260000
FEDERAL BLACK LUNG
—
05
—
0202697000
—
WV
01
—
CH7207
RAILROAD MEDICARE
—
Enumeration date
07/20/2005
Last updated
02/20/2023
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