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Individual

DR. JONATHAN RICHARD MCDONAGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097900
MI
207RC0000X
Cardiovascular Disease Physician
5821
AK
207RI0011X
Interventional Cardiology Physician
5821
AK
2086S0129X
Vascular Surgery Physician
Primary
5821
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015751
AK
05
8424384
WA
Enumeration date
09/16/2006
Last updated
05/03/2021
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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