Individual
MR. MARK ALAN DONELSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
150 S MOUNT AUBURN RD, C/O SAINT FRANCIS REHAB, CAPE GIRARDEAU, MO 63703-4910
(573) 331-5153
(573) 331-5028
Mailing address
125 STULL DR, BENTON, MO 63736-8261
(573) 331-5028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
113908
MO
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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