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Marina Domatova, MD
Medical Physician Assistant in Wheeling, West Virginia
NPI 1235369265

Marina Domatova is a Medical Physician Assistant based in Wheeling, WV and is specialized in Medical. Marina Domatova practices in Wheeling, WV and has the professional credentials of MD. The NPI Number for Marina Domatova is 1235369265 and holds a License No. 32484 (West Virginia).

The current practice location address for Marina Domatova is 1 Medical Park, Wheeling, WV and can be reached out via phone at 304-243-3330.

Location: 1 Medical Park, Wheeling, WV, 26003-6379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235369265
Provider Name
Marina Domatova
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Park, Wheeling, WV, 26003-6379
Phone Number
304-243-3330
Fax Number
Provider Enumeration Date
07/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32484 01 WV LICENSE
012873 01 NY LICENSE
D0095827 01 MD LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Medical Park
City
Wheeling
State
West Virginia
Zip
26003-6379
Phone Number
304-243-3330
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Park
City
Wheeling
State
West Virginia
Zip
26003-6379
Phone Number
304-243-3330
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
012873 (New York)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
32484 (West Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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