Provider Demographics
NPI:1700076957
Name:DONAUGH, DOEDE DEAWN (DO)
Entity Type:Individual
Prefix:DR
First Name:DOEDE
Middle Name:DEAWN
Last Name:DONAUGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6065
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:HI
Mailing Address - Zip Code:96737-6065
Mailing Address - Country:US
Mailing Address - Phone:808-939-8100
Mailing Address - Fax:808-829-3672
Practice Address - Street 1:928691 LOTUS BLOSSOM LANE
Practice Address - Street 2:#6-7
Practice Address - City:OCEAN VIEW
Practice Address - State:HI
Practice Address - Zip Code:96737-6065
Practice Address - Country:US
Practice Address - Phone:808-939-8100
Practice Address - Fax:808-829-3672
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDOS-1310207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine