Individual
DR. GREGG C DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0042054
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011509001
—
PA
05
—
2000220000
—
WV
01
—
2100999
UNITED HEALTHCARE
—
01
—
2117570
CIGNA
—
01
—
528302-02
BCBS POS
—
05
—
766241601
—
MD
01
—
893415
MDIPA/OPTIMUM CHOICE
—
01
—
990015534
RAILROAD MEDICARE
—
01
—
P14964
BCBS POS PRIMARY
—
01
—
W3990008
BCBS FEDERAL
—
Enumeration date
05/31/2005
Last updated
02/04/2013
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