Individual
DONOVAN R HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 N STAR WAY, MODESTO, CA 95356-9262
(209) 577-1200
(209) 577-1200
Mailing address
PO BOX 576768, MODESTO, CA 95357-6768
(209) 577-1200
(209) 577-1200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G75959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G759590
—
CA
Enumeration date
11/28/2006
Last updated
07/21/2022
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