Individual
STEPHEN EDWARD MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
10014 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227
(501) 224-5454
Mailing address
111 MARGEAUX DR, MAUMELLE, AR 72113-7248
(501) 920-0158
(501) 224-5460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1073
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148049742
—
AR
Enumeration date
07/11/2006
Last updated
10/17/2019
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