Individual
DONNA LOUISE SEGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7317 CENTRAL AVE NE, ALBUQUERQUE, NM 87108-2015
(505) 200-3320
(877) 860-2279
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20827
CO
207Q00000X
Family Medicine Physician
20A4585
CA
207Q00000X
Family Medicine Physician
25MB02875300
NJ
207Q00000X
Family Medicine Physician
Primary
A567-71
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369504
—
NJ
05
—
23200863
—
NM
01
—
P01422153/DV3487
RAILROAD MEDICARE-ALBUQUERQUE
NM
Enumeration date
06/10/2006
Last updated
04/06/2015
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