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David R Donaldson M.d., Pllc
Medical Specialty Clinic/Center in Pocatello, Idaho
NPI 1689869836

David R Donaldson M.d., Pllc is a Medical Specialty Clinic/Center based in Pocatello, ID and is specialized in Medical Specialty. David R Donaldson M.d., Pllc practices in Pocatello, ID. The NPI Number for David R Donaldson M.d., Pllc is 1689869836 and holds a License No. M9470 (Idaho).

The current practice location address for David R Donaldson M.d., Pllc is 333 N 18Th Ave, Pocatello, ID and can be reached out via phone at 208-232-2146 and via fax at 208-232-2770.

Location: 333 N 18Th Ave, Pocatello, ID, 83201-3358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689869836
Provider Name
David R Donaldson M.d., Pllc
Credential
Provider Entity Type
Organization
Address
333 N 18Th Ave, Pocatello, ID, 83201-3358
Phone Number
208-232-2146
Fax Number
208-232-2770
Provider Enumeration Date
09/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 N 18Th Ave
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-232-2146
Fax Number
208-232-2770
person
Provider Business Mailing Address Details
Address
333 N 18Th Ave
City
Pocatello
State
Idaho
Zip
83201
Phone Number
208-232-2146
Fax Number
208-232-2770
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
M9470 (Idaho)
Definition
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).
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