Individual
MR. DAVID M. DONELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10906
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10906
MEDICAL LICENSE
SC
05
—
109064
—
SC
05
—
109064 GP#PC4223
—
SC
Enumeration date
08/15/2005
Last updated
06/24/2011
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