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DR. EUGENE A. DONOVAN M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750373445

Individual Registrant:
DR. EUGENE A. DONOVAN M.D.
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

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

Registration Information:
NPI: 1750373445
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
VA0101032228

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
6012060VA05
AETNA5161503VA01
ANTHEM345645VA01
1750373445VA05




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