Individual
ROBERT JOHN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1281 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2949
(520) 863-9800
(520) 836-1510
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 432-8500
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
ME0051842
FL
2085N0904X
Nuclear Radiology Physician
ME51842
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME51842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04699
BCBS
—
01
—
10715379
CAQH
FL
01
—
2324753
AETNA HMO
—
05
—
258700900
—
FL
01
—
4388637
AETNA PPO
—
01
—
ME51842
FLORIDA LICENSE
FL
Enumeration date
06/05/2006
Last updated
09/25/2025
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