Mark L Donovan is a Pediatrics in Johnson City, Tennessee. Mark L Donovan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark L Donovan is 1417952250. The last update date is 2016-01-18.
Mark L Donovan's current location address is 301 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4237945560 and fax number 4237941801. The mailing address for Mark L Donovan is 301 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark L Donovan |
|---|---|
| Address | 301 Med Tech Pkwy, Johnson City, Tennessee |
| Phone Number | 4237945560 |
| Fax Number | 4237941801 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417952250 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2016-01-18 |
Provider Mailing Address Detail
| Address | 301 Med Tech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 3760423640 |
| Phone Number | 4237945560 |
| Fax Number | 4237941801 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 18834 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3042289 | TN | -- |
Post Comment/ Review Below
What is the Mark L Donovan's 1417952250?
The Mark L Donovan's NPI (National Provider Identifier) Number is 1417952250. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark L Donovan's facilities are geographically located?
The facilities of Mark L Donovan are physically situated at the following location: 301 Med Tech Pkwy, Johnson City, TN, 3760423640.
What is Mark L Donovan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark L Donovan is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date did the Mark L Donovan receive the assignment of its 1417952250 from the Centers for Medicare & Medicaid Services?
The Mark L Donovan was issued its 1417952250 by the Centers for Medicare & Medicaid Services on 2005-06-17.
As of what date were the Mark L Donovan's details last updated?
The information pertaining to the Mark L Donovan, including its address, specialty, and other details, was most recently updated on 2016-01-18.
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