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Individual

DR. GORDON R. MACDONALD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
340 HARBOUR DR, 73 ISLA SAN MIGUEL, HUMACAO, PR 00791-6228
(787) 850-6728
Mailing address
340 HARBOUR DR, 73 ISLA SAN MIGUEL, HUMACAO, PR 00791-6228
(787) 850-6728

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11359
PR

Other

Enumeration date
06/17/2006
Last updated
07/08/2007
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