Individual
CRAIG MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-8757
Mailing address
635 MERWIN AVE, MILFORD, CT 06460-3849
(203) 215-0627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012833
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144615378
—
OH
Enumeration date
04/03/2015
Last updated
01/11/2018
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