Individual
ROBERT L. MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 E RIVER PARK PL W STE 104, FRESNO, CA 93720-1565
(559) 320-0530
(559) 320-0532
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G152971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085462
—
IL
Enumeration date
12/22/2006
Last updated
11/07/2019
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