Individual
JOHN GERALD DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 MISSION AVE, OCEANSIDE, CA 92054-7102
(760) 967-4475
(760) 966-3827
Mailing address
1701 MISSION AVE, OCEANSIDE, CA 92054-7102
(760) 967-4475
(760) 966-3827
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A48716
CA
Other
Enumeration date
10/24/2006
Last updated
02/25/2014
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