Individual
DEIRDRE DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
UNMHSC 1 UNIVERSITY OF NEW MEXICO, DEPT OF NEUROLOGY; MSC 10-5620, ALBUQUERQUE, NM 87131-0001
(505) 272-3342
(505) 272-6692
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3201
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042-0009619
VT
2084N0400X
Neurology Physician
18565
NH
2084N0400X
Neurology Physician
36407
CT
2084N0400X
Neurology Physician
MD2015-0408
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30011427
—
NH
05
—
3088367
—
NH
05
—
OVN1743
—
VT
Enumeration date
03/24/2006
Last updated
11/10/2022
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