Individual
COLIN MATTHEW DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1720 LOUISIANA BLVD NE, SUITE 401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4338
Mailing address
1520 RICHMOND DR NE, ALBUQUERQUE, NM 87106-1830
(817) 658-3891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A-1995-16
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/13/2011
Last updated
01/31/2017
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