Individual
DONALD EDWARD NIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BARRS ST, DEPARTMENT OF RADIOLOGY, JACKSONVILLE, FL 32204-4704
(904) 388-1562
(904) 388-1841
Mailing address
PO BOX 7426, JACKSONVILLE, FL 32238-0426
(904) 388-1562
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME95173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275927600
—
FL
Enumeration date
05/04/2006
Last updated
08/17/2007
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