Individual
DOUGLAS L. MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5539
(317) 621-7884
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2013023216
MO
367500000X
Certified Registered Nurse Anesthetist
209-006091
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28188056A
IN
Other
Enumeration date
08/09/2006
Last updated
12/23/2024
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