Individual
MR. DONAVAN MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0002
(202) 865-6239
Mailing address
13802 S SPRINGS DR, CLIFTON, VA 20124-2448
(703) 507-5575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001711
DC
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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