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Individual

STEPHEN W DONOHUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7600 N 16TH ST, SUITE 150, PHOENIX, AZ 85020-4431
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20553
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050019236
RAILROAD MEDICARE
AZ
05
107880
AZ
Enumeration date
02/21/2006
Last updated
09/03/2010
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