Individual
CONNOR PAUL DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2751 ALBERT L BICKNELL DR, SHREVEPORT, LA 71103-3920
(318) 212-4275
Mailing address
9000 W WILDERNESS WAY APT 243, SHREVEPORT, LA 71106-6837
(337) 718-8262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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