Organization
DAVID R DONALDSON M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBY WILCOX (MANAGER)
(208) 232-2146
Entity
Organization
Contact information
Practice address
333 N 18TH AVE, ST#B3, POCATELLO, ID 83201
(208) 232-2146
(208) 232-2770
Mailing address
333 N 18TH AVE, ST#B3, POCATELLO, ID 83201-3358
(208) 232-2146
(208) 232-2770
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M9470
ID
Other
Enumeration date
09/11/2007
Last updated
07/05/2018
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