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Individual

DONOVAN H SIGERFOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1301 W 38TH ST #205, AUSTIN, TX 78705-1011
(512) 324-1864
(512) 419-9016
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G9307
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110081144
TX
05
136681710
TX
05
136681711
TX
05
136681712
TX
05
136681713
TX
Enumeration date
07/29/2006
Last updated
05/24/2013
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