Individual
JONATHAN SAMUEL MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(501) 733-1981
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
14216229-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
292149
MA
2085R0202X
Diagnostic Radiology Physician
MD217707
OR
2085R0202X
Diagnostic Radiology Physician
V5103
TX
390200000X
Student in an Organized Health Care Education/Training Program
2020015334
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/26/2017
Last updated
02/27/2026
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