Individual
ELIZABETH T DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
95017704
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95017704
CA
Other
Enumeration date
10/12/2021
Last updated
08/31/2022
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