Individual
DR. DADE W. DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
700 S CLAREMONT ST, SUITE 111, SAN MATEO, CA 94402-1452
(650) 348-4233
(650) 348-4269
Mailing address
700 S CLAREMONT ST, SUITE 111, SAN MATEO, CA 94402-1452
(650) 348-4233
(650) 348-4269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
26042
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC0260420
—
CA
Enumeration date
04/13/2006
Last updated
12/03/2012
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