Individual
GREGORY P MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W 8TH AVE, STE 4200, SPOKANE, WA 99204-2307
(509) 474-5440
(509) 462-4086
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD00037788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8246860
—
WA
01
—
AB32999
MEDICARE GROUP
WA
Enumeration date
07/10/2006
Last updated
06/16/2021
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