Individual
DR. DAVID R DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 18TH AVE, ST#B-3, POCATELLO, ID 83201-3358
(208) 232-2146
(208) 232-2770
Mailing address
333 N 18TH AVE, ST#B-3, POCATELLO, ID 83201-3358
(208) 232-2146
(208) 232-2770
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TL3633
ID
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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