| Doctor Name: | MARYETTA HADLEY DONOHUE |
| NPI Number: | 1750347985 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | OSO10199L |
| Business Practice Address: | 1127 7th Ave Altoona, PA - 166022518 |
| Business Phone Number: | 8145152797 |
| Business Fax Number: | 8145151445 |
| Mailing Address: | 301 Union Ave # 396, ALTOONA |
| State: | PA |
| Postal Code: | 166023249 |
| Phone Number: | 8145152797 |
| Fax Number: | 8145151445 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OSO10199L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |