Individual
DR. DONALD MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4960 REBECCA DR, PENNGROVE, CA 94951-9519
(707) 762-3507
(707) 795-8352
Mailing address
PO BOX 750607, PETALUMA, CA 94975-0607
(707) 762-3507
(707) 795-8352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G00028979
—
CA
Enumeration date
04/13/2006
Last updated
11/12/2008
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