Individual
DR. JONATHAN RICHARD MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3841 PIPER ST, SUITE T-100, ANCHORAGE, AK 99508-4624
(907) 561-3211
(907) 771-6870
Mailing address
PO BOX 200149, ANCHORAGE, AK 99520-0149
(907) 561-3211
(907) 771-6870
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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