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Individual
DR. JOHN W MACDONALD
Active
Individual
DR. JOHN W MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F7518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00LR46
BLUE CROSS BLUE SHIELD
TX
01
—
2814679010
CIGNA
TX
01
—
3166859
HMO BLUE
TX
01
—
5259005
AETNA
TX
Enumeration date
05/22/2006
Last updated
06/09/2008
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