Individual
DR. JAMES B MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 N 1200 E STE 203, LEHI, UT 84043-5864
(801) 418-0920
(801) 418-0921
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
43502
AZ
207N00000X
Dermatology Physician
Primary
8991267-1205
UT
207ND0900X
Dermatopathology Physician
8991267-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543101
—
AZ
Enumeration date
06/04/2009
Last updated
11/27/2023
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