Individual
DOMINIC JOHN DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
250 DEBARTOLO PL, BOARDMAN, OH 44512-7004
(300) 314-9100
Mailing address
910 WESTPORT DR, YOUNGSTOWN, OH 44511-3731
(330) 360-3874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006010
OH
Other
Enumeration date
08/19/2019
Last updated
01/05/2020
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