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Individual
MARY A MCDONALD
Active
Individual
MARY A MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D74974
MD
207Q00000X
Family Medicine Physician
Primary
MD038925
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200262200A
—
KS
05
—
209351600
—
MO
01
—
34069013
BCBS KANSAS CITY
MS
01
—
601010
FIRSTGUARD
KS
01
—
P00152871
RAILROAD MEDICARE
—
Enumeration date
09/15/2006
Last updated
11/18/2015
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