Individual
DR. WILLIAM M MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 588-2233
(801) 588-2236
Mailing address
295 CHIPETA WAY, PEDS ADMIN, SALT LAKE CITY, UT 84108-1220
(801) 587-7450
(801) 587-7455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6275131 1205
UT
208000000X
Pediatrics Physician
DR040345
CO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
6275131 8905
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
DR040345
CO
Other
Enumeration date
05/19/2006
Last updated
09/12/2008
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