Individual
THOMAS KENT DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E WASHINGTON ST, #200, COLTON, CA 92324-7111
(909) 882-5867
(909) 503-1913
Mailing address
399 E 21ST ST, SAN BERNARDINO, CA 92404-4815
(909) 882-5867
(909) 881-7593
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
G55682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00556820
—
CA
Enumeration date
04/17/2006
Last updated
01/15/2018
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