Individual
MONICA F DONEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1607 LINCOLN WAY, SUITE 200, COEUR D ALENE, ID 83814
(208) 667-5483
(208) 667-7062
Mailing address
1607 LINCOLN WAY, SUITE 200, COEUR D ALENE, ID 83814-2462
(208) 667-5483
(208) 667-7062
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
PA105
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804051700
—
ID
Enumeration date
01/17/2007
Last updated
09/03/2008
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