DAVID R DONALDSON M.D. PLLC NPI 1689869836

NPI Information

DAVID R DONALDSON M.D., PLLC is a medical specialty clinic center in Pocatello, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DAVID R DONALDSON M.D., PLLC NPI is 1689869836. The provider is registered as an organization entity type.

The provider's business location address is:

333 N 18TH AVE
ST#B3
POCATELLO, ID
ZIP 83201
Phone: (208) 232-2146
Fax: (208) 232-2770

The provider's authorized official is Debby Wilcox .
The authorized official title is Manager and has the following contact phone number (208) 232-2146.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 7/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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