Stephen Ward Dominick


Address: 1737 Sheridan Ave, Suite 319, Cody, WY 82414-3851
Phone: 3075878439

Stephen Ward Dominick (NPI# 1962604215, PAC ID# 5597065821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1962604215
PAC ID by PECOS 5597065821
Professional Enrollment ID I20151118001713
Full Name Stephen Ward Dominick
Address 1737 Sheridan Ave
Suite 319
Cody
WY 82414-3851
Phone Number 3075878439
Gender M
Graduation Year 1991
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1737 Sheridan Ave, Suite 319, Cody, WY 82414-3851 3075878439
1737 Sheridan Ave, Cody, WY 82414-3851 3075878439

Organization Information

Office Location

Street Address 1737 SHERIDAN AVE
SUITE 319
City CODY
State WY
Zip 82414-3851

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Competitor

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City CODY
Zip Code 82414
Specialty CLINICAL SOCIAL WORKER
City + Specialty CODY + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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