Individual
MR. JOHN J MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 321-1000
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C001257
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145919701
—
AR
01
—
430078846
RR MEDICARE GROUP CK6327
—
01
—
5W279
AR BCBS
AR
Enumeration date
09/23/2005
Last updated
10/19/2016
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