Individual
DR. GARY L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
29908
CO
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
29908
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009909
KAISER-COMMERCIAL NUMBER
—
05
—
01299080
—
CO
Enumeration date
02/27/2007
Last updated
06/21/2021
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