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Individual

EDWARD BARRY MCDONOUGH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2223
(319) 353-6754
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2223
(319) 353-6754

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD-55904
IA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036112730
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD-55904
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112730
IL
Enumeration date
03/08/2006
Last updated
11/05/2025
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