David R Donaldson M.d., Pllc

NPI #1689869836 in Pocatello, Idaho

Provider Information

NPI Number
1689869836
Entity Type
Organization
Organization Name
David R Donaldson M.d., Pllc
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Sep 11, 2007
Last Updated
Jul 5, 2018

Practice Location

Address
333 N 18TH AVE
Address 2
ST#B3
State
Idaho
ZIP Code
83201
Phone
(208) 232-2146

Authorized Official

Name
MRS. DEBBY WILCOX
Title
MANAGER
Phone
(208) 232-2146

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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