Individual
DR. MATTHEW SEAN MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
559 VINCENT ST, ATTN 21MDOS/SGOC - PEDIATRICS, PETERSON AFB, CO 80914-1541
(719) 556-1197
(866) 867-7926
Mailing address
559 VINCENT ST, ATTN 21MDOS/SGOC - PEDIATRICS, PETERSON AFB, CO 80914-1541
(719) 556-1197
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25999
NE
Other
Enumeration date
05/05/2009
Last updated
10/30/2018
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