Organization
TIMOTHY J DONOVAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSPEH DONOVAN MD (OWNER/PYSICIAN)
(337) 239-2600
Entity
Organization
Contact information
Practice address
103 WEST UNIVERSITY PARKWAY, LEESVILLE, LA 71446-4482
(337) 239-2600
(337) 239-2601
Mailing address
103 WEST UNIVERSITY PARKWAY, LEESVILLE, LA 71446-4482
(337) 239-2600
(337) 239-2601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203745
LA
Other
Enumeration date
03/21/2013
Last updated
10/25/2016
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