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Individual
THOMAS P MCDONOUGH
Active
Individual
THOMAS P MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31934
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319342
—
CO
01
—
31934
STATE LICENSE
CO
Enumeration date
06/06/2006
Last updated
02/16/2010
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