Individual
DONOVAN CHAN NOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-2778
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102207440
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2020
Last updated
06/30/2024
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