Basic Information
| Provider Information | |||||||||
| NPI: | 1497795405 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DONOVAN | ||||||||
| FirstName: | JANET | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16233 SYLVESTER RD SW STE G40 | ||||||||
| Address2: | |||||||||
| City: | BURIEN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981663068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062446625 | ||||||||
| FaxNumber: | 2062446726 | ||||||||
| Practice Location | |||||||||
| Address1: | 16233 SYLVESTER RD SW | ||||||||
| Address2: | STE G40 | ||||||||
| City: | BURIEN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981663045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062446625 | ||||||||
| FaxNumber: | 2062446726 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/07/2006 | ||||||||
| LastUpdateDate: | 09/23/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD00032204 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.