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JOEL D MACDONALD MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL D MACDONALD MD (MANAGER)
(801) 244-6959
Entity
Organization

Contact information

Practice address
1255 E 3900 S STE 301, SALT LAKE CITY, UT 84124-1417
(801) 328-2522
Mailing address
2660 E 3300 S APT 19, SALT LAKE CITY, UT 84109-2761
(801) 244-6959

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
183354-1205
UT

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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