Aston Dommel, | |
2817 Reilly St, Fort Bragg, NC 28310-7394 | |
(910) 907-7136 | |
Not Available |
Full Name | Aston Dommel |
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Gender | Male |
Speciality | Dietitian, Registered - Nutrition, Pediatric |
Location | 2817 Reilly St, Fort Bragg, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336890466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 3013 (Alabama) | Primary |
Provider Name | Openloop Healthcare Partners Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20210923003392 |
Mailing Address | Practice Location Address |
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Aston Dommel, 1620 12th St S Apt D, Birmingham, AL 35205-5929 Ph: (717) 269-7234 | Aston Dommel, 2817 Reilly St, Fort Bragg, NC 28310-7394 Ph: (910) 907-7136 |
Ms. Kimberly Nichole Stikeleather, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: Womack Army Medical Ctr, Building 4-2817 Reilly Road, Fort Bragg, NC 28310 Phone: 910-907-7387 | |
Kaitlin Nicole Gray, RD, CSSD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-570-3162 | |
Nikkolas Grant Chandarlis, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: Dha Wamc 2817 Reilly Rd, Fort Bragg, NC 28310 Phone: 910-907-8435 | |
Lauren Pike, RD, LD, CSSD Dietitian Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Karen Ann-marie Wesley, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Rd, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Leslee Sanders, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |