Individual
DANA J DOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4650 HILLS AND DALES RD NW, CANTON, OH 44708-6220
(330) 491-9675
(330) 491-1682
Mailing address
7614 KNOLL RIDGE AVE NE, CANTON, OH 44721
(330) 324-3010
(330) 491-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001082
OH
Other
Enumeration date
02/26/2007
Last updated
07/24/2013
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