Individual
DR. MARK MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT,OCS
Contact information
Practice address
427 W MAIN ST, STERLING, CO 80751-3033
(970) 522-7743
(970) 521-0640
Mailing address
427 W MAIN ST, STERLING, CO 80751-3033
(970) 522-7743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2903
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6500005073
RAILROAD MEDICARE NUMBER
CO
01
—
MAP6403
BLUE CROSS/BLUE SHIELD
CO
Enumeration date
10/04/2006
Last updated
07/08/2007
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