Individual
MR. ROBERT MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3650 5TH AVE, #201, SAN DIEGO, CA 92103-4235
(858) 287-1420
Mailing address
3650 5TH AVE, #201, SAN DIEGO, CA 92103-4235
(858) 287-1420
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
71253
CA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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