Organization
TIMOTHY P. DOMER DO,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P DOMER DO (PRESIDENT)
(330) 385-4610
Entity
Organization
Contact information
Practice address
16687 SAINT CLAIR AVE, SUITE 101, EAST LIVERPOOL, OH 43920-9401
(330) 385-4610
(330) 385-4620
Mailing address
16687 SAINT CLAIR AVE, SUITE 101, EAST LIVERPOOL, OH 43920-9401
(330) 385-4610
(330) 385-4620
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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