Individual
JANELLE L DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 327-1900
(406) 327-1927
Mailing address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 327-1900
(406) 327-1927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9563
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027885
—
MT
Enumeration date
06/27/2006
Last updated
04/12/2012
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