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Individual

DAVID R. DONAHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2030 MOUNTAIN VIEW AVE, STE 200, LONGMONT, CO 80501-3178
(720) 652-8444
Mailing address
2030 MOUNTAIN VIEW AVE, STE 200, LONGMONT, CO 80501-3178
(720) 652-8444

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0102202269
VA
208600000X
Surgery Physician
Primary
55715
CO
208600000X
Surgery Physician
59116
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
71700064
CO
Enumeration date
03/23/2007
Last updated
08/10/2016
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