Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOMINIQUE K DAVIS
Active Sole ProprietorMR. DOMINIQUE K DAVIS is a Prosthetic/Orthotic Supplier healthcare provider located in BRADDOCK, Pennsylvania. NPI 1164941340 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · BRADDOCK, PA
Registration Details
- NPI Number
- 1164941340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2017 (8.9241549951156 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 PARKER AVE APT 9BRADDOCK, PA, 15104Browse PA providers · Browse ZIP 15104
- Phone
- 4123788630
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.