Individual
DANIEL MCDONOUGH
Active
Individual
DANIEL MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
418799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307957100
—
FL
01
—
G4083
BCBSFL
FL
Enumeration date
08/02/2006
Last updated
06/12/2008
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