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Individual

DR. EDWARD JEFFREY DONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 342-2220
(970) 342-2221
Mailing address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 342-2220
(970) 342-2221

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
30264
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01302645
CO
05
100872200
WY
Enumeration date
11/10/2005
Last updated
06/29/2023
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