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Organization
SAMUEL DONOHOE, MD, INC.
Active
Organization
SAMUEL DONOHOE, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA AMANDA MARSHALL (BILLING MANAGER)
(619) 461-1898
Entity
Organization
Contact information
Practice address
3920 CLARK ST, SAN DIEGO, CA 92103-1649
(619) 461-1898
(619) 461-0198
Mailing address
3920 CLARK ST, SAN DIEGO, CA 92103-1649
(619) 461-1898
(619) 461-0198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A120494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073806865
NPPES
—
Enumeration date
11/26/2013
Last updated
11/26/2013
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