Individual
DONOVAN BREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 HOSPITAL DR, MARTINSBURG, WV 25401-3402
(304) 264-1000
(304) 264-1325
Mailing address
PO BOX 6866, WHEELING, WV 26003-0923
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
84028
WV
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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