Individual
DANIEL G MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3007 MEMORIAL PKWY SW, SUITE C, HUNTSVILLE, AL 35801-5393
(256) 799-2500
(256) 799-2501
Mailing address
3007 MEMORIAL PKWY SW, SUITE C, HUNTSVILLE, AL 35801-5393
(256) 799-2500
(256) 799-2501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25210
AL
2084P0800X
Psychiatry Physician
Primary
MD25210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051558397
BCBS
AL
05
—
051558397
—
AL
05
—
331300661
—
AL
05
—
331334661
—
AL
01
—
51538378
BCBS
AL
Enumeration date
07/07/2005
Last updated
04/10/2012
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