| Timothy J Donovan Md Llc | |
|
103 West University Parkway Leesville LA 71446-4482 | |
| (337) 239-2600 | |
| (337) 239-2601 |
| Full Name | Timothy J Donovan Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 103 West University Parkway, Leesville, Louisiana |
| Authorized Official Name and Position | Timothy Jospeh Donovan (OWNER/PYSICIAN) |
| Authorized Official Contact | 3372392600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Donovan Md Llc 103 West University Parkway Leesville LA 71446-4482 Ph: (337) 239-2600 | Timothy J Donovan Md Llc 103 West University Parkway Leesville LA 71446-4482 Ph: (337) 239-2600 |
| NPI Number | 1679815294 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679815294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD203745 (Louisiana) | Primary |
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