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Individual
DR. STEVEN MACDONALD
Active
Individual
DR. STEVEN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1048
AZ
152W00000X
Optometrist
Primary
1942
KS
152W00000X
Optometrist
2007034505
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406000017
MEDICARE PTAN
MO
01
—
406B00017
MEDICARE
KS
01
—
P01156991
RAILROAD MEDICARE PTAN
MO
Enumeration date
10/07/2005
Last updated
03/22/2022
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