Individual
JERRY DOMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 LEE HWY STE 6, BRISTOL, VA 24202-5958
(276) 645-0823
Mailing address
3101 LEE HWY STE 6, BRISTOL, VA 24202-5958
(276) 645-0823
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101002200
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101002200
VIRGINIA DPOR
VA
Enumeration date
05/11/2020
Last updated
05/11/2020
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