Individual
BYRON LEE DONOVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-1851
Mailing address
PO BOX 687, HYDETOWN, PA 16328-0687
(814) 827-4185
(814) 827-4185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD039449L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010189590002
—
PA
Enumeration date
01/20/2006
Last updated
07/08/2007
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