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Individual

GARY ROBERT DONATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
996 NW CIRCLE BLVD STE 103, CORVALLIS, OR 97330-1485
(541) 768-1252
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD221411
OR
208200000X
Plastic Surgery Physician
ME143238
FL

Other

Enumeration date
11/29/2006
Last updated
10/28/2024
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