Individual
MR. DONOVAN DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
130 NORTH ST, HYANNIS, MA 02601-3825
(508) 775-8282
Mailing address
130 NORTH ST, HYANNIS, MA 02601-3825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5066
MA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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