JACK WILLIAM DORMER

WILLIAMSVILLE, NY
NPI1285317024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  030380)
Enumeration Date2023-08-09
Last Update Date2023-08-09
Business Address
JACK WILLIAM DORMER PA
111 NORTH MAPLEMERE ROAD SUITE 100
WILLIAMSVILLE, NY 14221
Phone number: 716-204-3200
Mailing Address
JACK WILLIAM DORMER PA
4225 GENESEE ST STE 400
CHEEKTOWAGA, NY 14225-1994
Phone number: 716-204-3200
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