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Individual

BRIAN D DONOGHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
2500 BLUE RIDGE RD STE 417, RALEIGH, NC 27607-7516
(919) 787-9097

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2010-01730
NC
207P00000X
Emergency Medicine Physician
35.087179
OH
207P00000X
Emergency Medicine Physician
42033
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2673683
OH
05
5916138
NC
05
7100041940
KY
Enumeration date
07/14/2006
Last updated
04/01/2021
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