Individual
JOEL DOUGLAS MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
82 S 1100 E STE 103, SALT LAKE CITY, UT 84102-1889
(801) 505-5370
(801) 984-6657
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
10/13/2006
Last updated
04/09/2019
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