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Individual
SUSAN B MCDONALD
Active
Individual
SUSAN B MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C52587
CA
207L00000X
Anesthesiology Physician
MD00037520
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039515
L & I
WA
05
—
00C525870
—
CA
01
—
1700836988
STOCKTON ANESTHESIA MED
CA
01
—
5539MC
INDIVIDUAL BLUE SHIELD
WA
05
—
8241945
—
WA
01
—
MC5531
PIERCE COUNTY
WA
Enumeration date
02/15/2006
Last updated
10/09/2007
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