Individual
BART WILLIAM MCDONALD
Active
Individual
BART WILLIAM MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1555
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5744703
FIRST HEALTH
ID
05
—
807400900
—
ID
01
—
P00320548
BLUE SHIELD MEDICARE ADV
ID
01
—
PT1555
TRICARE
ID
01
—
TD646
BCID
ID
Enumeration date
04/04/2007
Last updated
03/30/2010
Update your record
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