Individual
SHANNON DEE DONEGAN
Active
Individual
SHANNON DEE DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0007622
CO
363AS0400X
Surgical Physician Assistant
PA.0007622
CO
363AS0400X
Surgical Physician Assistant
Primary
PA57225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088082
—
WA
05
—
500733841
—
OR
Enumeration date
09/25/2017
Last updated
03/10/2023
Update your record
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