Individual
DR. MARYANNE BEATRICE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-4185
(253) 968-1188
Mailing address
9040 REID ST, JOINT BASE LEWIS MCCHORD, WA 98431-1100
(253) 968-4185
(253) 968-1188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00020851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114446
—
WA
01
—
154293
L & I PROVIDER NUMBER
WA
Enumeration date
06/07/2006
Last updated
04/24/2019
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