Individual
GEOFFREY F. DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G49760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G497600
—
CA
Enumeration date
12/13/2007
Last updated
12/13/2007
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