| Samuel Donohoe, Md, Inc. | |
|
3920 Clark St San Diego CA 92103-1649 | |
| (619) 461-1898 | |
| (619) 461-0198 |
| Full Name | Samuel Donohoe, Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3920 Clark St, San Diego, California |
| Authorized Official Name and Position | Virginia Amanda Marshall (BILLING MANAGER) |
| Authorized Official Contact | 6194611898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Donohoe, Md, Inc. 3920 Clark St San Diego CA 92103-1649 Ph: (619) 461-1898 | Samuel Donohoe, Md, Inc. 3920 Clark St San Diego CA 92103-1649 Ph: (619) 461-1898 |
| NPI Number | 1336579481 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 11/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336579481 | NPI | - | NPPES |
| 1073806865 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A120494 (California) | Primary |
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