Individual
JAMES EDWARD MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(949) 292-7348
Mailing address
21562 HONEYSUCKLE ST, TRABUCO CANYON, CA 92679-3475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20416
CA
207P00000X
Emergency Medicine Physician
Primary
T4975
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/29/2018
Last updated
05/23/2023
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