Individual
JOHN L MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6625 S RURAL RD, STE 104, TEMPE, AZ 85283-3717
(480) 833-4515
Mailing address
6625 S RURAL RD, STE 104, TEMPE, AZ 85283-3717
(480) 833-4515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7949
AZ
111NS0005X
Sports Physician Chiropractor
4634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412797
—
AZ
Enumeration date
11/25/2008
Last updated
05/28/2013
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