Individual
PATRICK MCDONOUGH
Active
Individual
PATRICK MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34009768
OH
2085R0202X
Diagnostic Radiology Physician
4478
IA
2085R0202X
Diagnostic Radiology Physician
58.003040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103829
—
OH
01
—
58.003040
DO TRAINIG CERTIFICATE
OH
05
—
7100371950
—
KY
Enumeration date
10/27/2009
Last updated
12/21/2020
Update your record
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