Provider Demographics
NPI:1992486849
Name:DOMBLISKY, CAMERON STEWART (PA-C)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:STEWART
Last Name:DOMBLISKY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:230 1ST ST APT 3
Mailing Address - Street 2:
Mailing Address - City:ASPINWALL
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3049
Mailing Address - Country:US
Mailing Address - Phone:814-380-4737
Mailing Address - Fax:
Practice Address - Street 1:2570 HAYMAKER RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3513
Practice Address - Country:US
Practice Address - Phone:412-858-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-25
Last Update Date:2024-01-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant