Mcdonald, David M.

Mcdonald, David M. is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mcdonald, David M. can be contacted via phone (208) 239-1000.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (208) 239-1000
Fax: (602) 239-3754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4780 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1016 Idaho

Profile Details

NPI number 1710280144
LBN Legal business name Mcdonald, David M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2010
Last updated Dec 6th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710280144 NPPES
Arizona MEDICAID 626417

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