Individual
BRIAN JOSEPH DONOGHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 S MAIN ST, SUITE 100, ORANGE, CA 92868-3852
(714) 704-1900
Mailing address
PO BOX 2757, ORANGE, CA 92859-0757
(714) 973-2650
(714) 973-2655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G63441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G634413
—
CA
Enumeration date
05/10/2007
Last updated
10/04/2007
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