person
Brenton Wayne Mcdonald, MD
Diagnostic Radiology Physician in Monroe, Louisiana
NPI 1528094455

Brenton Wayne Mcdonald is a Diagnostic Radiology Physician based in Monroe, LA and is specialized in Diagnostic Radiology. Brenton Wayne Mcdonald practices in Monroe, LA and has the professional credentials of MD. The NPI Number for Brenton Wayne Mcdonald is 1528094455 and holds a License No. 12051R (Louisiana).

The current practice location address for Brenton Wayne Mcdonald is 2807 Evangeline St, Monroe, LA and can be reached out via phone at 318-737-2269 and via fax at 318-324-1719. You can also correspond with Brenton Wayne Mcdonald through the mailing address at 2807 EVANGELINE ST, MONROE, LA - 71201-3749 (mailing address contact number: 318-737-2269).

Location: 2807 Evangeline St, Monroe, LA, 71201-3749
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Provider Profile Details
NPI Number
1528094455
Provider Name
Brenton Wayne Mcdonald
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2807 Evangeline St, Monroe, LA, 71201-3749
Phone Number
318-737-2269
Fax Number
318-324-1719
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1542288 05 LA
134436001 01 AR MEDICAID
300101532 01 LA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2807 Evangeline St
City
State
Zip
71201-3749
Phone Number
318-737-2269
Fax Number
318-324-1719
person
Provider Business Mailing Address Details
Address
2807 Evangeline St
City
State
Zip
71201-3749
Phone Number
318-737-2269
Fax Number
318-324-1719
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
12051R (Louisiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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