Individual provider · Type 1 NPI

Peter C. Donovan, PA-C

Surgical Physician Assistant · Portland, ME

NPI number 1366549438 Active

Practice location

818 Congress St
Portland, ME 04102-3112

Call (207) 773-8161 Map

Fax (207) 773-1489

Mailing address

301C US Route 1
Scarborough, ME 04074-9701

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-666 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1366549438

Peter C. Donovan, PA-C's National Provider Identifier is 1366549438, issued on Sep 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, ME. The record was last updated on Aug 3, 2012.