Individual
CHARLES T MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
360 PEAK ONE DR, STE 110, FRISCO, CO 80443
(970) 668-3478
(970) 668-0632
Mailing address
715 HORIZON DR, SUITE 225, GRAND JUNCTION, CO 81506-8700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0992380-NP
CO
Other
Enumeration date
02/12/2015
Last updated
08/03/2016
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