Individual
DR. LESLIE ALLAN DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42121 US 70, PORTALES, NM 88130-9357
(505) 356-6652
(505) 359-6827
Mailing address
PO BOX 510, PORTALES, NM 88130-0510
(505) 356-6652
(505) 359-6827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000-26
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81307322
—
NM
Enumeration date
05/17/2006
Last updated
07/08/2007
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