Individual
DONALD E. R. POISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NPP
Contact information
Practice address
1180 N INDIAN CANYON DR, SUITE 408, PALM SPRINGS, CA 92262-4800
(760) 969-5200
(760) 969-5201
Mailing address
1180 N INDIAN CANYON DR, SUITE 408, PALM SPRINGS, CA 92262-4800
(760) 969-5200
(760) 969-5201
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NPP21594
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213417
BLUE CROSS PROVIDER ID
RI
Enumeration date
09/21/2005
Last updated
07/08/2007
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