Individual
MR. THOMAS JAMES MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 GUZZI LANE, SUITE 105, SONORA, CA 95370
(209) 532-0126
(209) 532-2950
Mailing address
680 GUZZI LANE, SUITE 105, SONORA, CA 95370
(209) 532-0126
(209) 532-2950
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01064795A
IN
207X00000X
Orthopaedic Surgery Physician
A88661
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A88661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000585039
ANTHEM TRADITIONAL ACCESS & PREFERRED
IN
05
—
200917390
—
IN
01
—
4405104
CIGNA
IN
01
—
9362175
AETNA
IN
01
—
P00703265
RR MEDICARE
IN
Enumeration date
11/03/2005
Last updated
10/10/2018
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