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Individual

DR. DONALD LEE MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
309 N 5TH ST, WEST MEMPHIS, AR 72301-3213
(870) 732-6600
(870) 732-6621
Mailing address
703 CALVIN AVERY DR, SUITE A, WEST MEMPHIS, AR 72301-6501
(870) 732-1878
(870) 702-7111

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E1189
AR
2084P0800X
Psychiatry Physician
MD27830
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003121060
BCBS
TN
05
135506001
AR
05
242806000
TN
01
3811482
MEDICARE
TN
01
5K644
BCBS
AR
Enumeration date
07/13/2006
Last updated
02/16/2012
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