Individual
MR. JOHN J MCDONALD
Active
Individual
MR. JOHN J MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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