Individual
DR. PAUL R MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 W THOMAS RD # 400, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Mailing address
240 W THOMAS RD # 400, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
200300649
NC
2084N0400X
Neurology Physician
Primary
52123
AZ
2084V0102X
Vascular Neurology Physician
52123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139503
—
AZ
01
—
P00208202
RAILROAD MEDICARE
—
Enumeration date
04/06/2006
Last updated
11/04/2019
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