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Individual

MARY A MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3720 UPTON ST NW, WASHINGTON, DC 20016-2224
(202) 966-3720
Mailing address
3720 UPTON ST NW, WASHINGTON, DC 20016-2224
(202) 966-3720

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D74974
MD
207Q00000X
Family Medicine Physician
Primary
MD038925
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200262200A
KS
05
209351600
MO
01
34069013
BCBS KANSAS CITY
MS
01
601010
FIRSTGUARD
KS
01
P00152871
RAILROAD MEDICARE
Enumeration date
09/15/2006
Last updated
11/18/2015
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