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Individual

DR. BRIAN SHANNON DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5555 E 5TH ST STE 101, TUCSON, AZ 85711-2415
(520) 886-4181
(520) 721-7536
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 382-1205
(520) 795-0225

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53448
AZ
207Q00000X
Family Medicine Physician
ME100183
FL

Other

Enumeration date
06/01/2005
Last updated
10/17/2017
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