Individual
DR. SAMUEL M. DONOHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 E KINCAID ST, HOSPITALISTS OFFICE, MOUNT VERNON, WA 98274-4126
(360) 416-5750
(360) 416-5758
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A120494
CA
207R00000X
Internal Medicine Physician
Primary
MD60465597
WA
Other
Enumeration date
05/26/2011
Last updated
07/31/2014
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