# JEROME M. MCDONALD, M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851424410
- **Authorized official:** JEROME M MCDONALD (SURGEON)
- **Authorized official phone:** (209) 948-1234

## Contact information

- **Practice address:** 1617 N CALIFORNIA ST, SUITE 1D, STOCKTON, CA 95204-6117
- **Practice address phone:** (209) 948-1234
- **Mailing address:** 1617 N CALIFORNIA ST, SUITE 1D, STOCKTON, CA 95204-6117
- **Mailing address phone:** (209) 948-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | C52651 | CA | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020