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DR. EUGENE A. DONOVAN M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1750373445
Individual Registrant:DR. EUGENE A. DONOVAN M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
412 NAMOZINE STREET BURKEVILLE, VA 23922 US
Tel: 434-767-4822 Fax: 434-767-2211
Tel: 434-767-4822 Fax: 434-767-2211
Contact information for business:
PO BOX 927 5 E ALVON ROAD, SUITE 7 WHITE SULPHUR SPRINGS, WV 24986-2373 US
Tel: 304-536-5030 Fax: 304-536-5051
Tel: 304-536-5030 Fax: 304-536-5051
Registration Information:
NPI: 1750373445
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | VA | 0101032228 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 6012060 | VA | 05 | |
| AETNA | 5161503 | VA | 01 |
| ANTHEM | 345645 | VA | 01 |
| 1750373445 | VA | 05 |
