Individual
DR. DOUGLAS KYLE MCDONALD
Active
Individual
DR. DOUGLAS KYLE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
223375
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
L6109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101327
—
MA
01
—
462203
TUFTS HEALTH PLAN
MA
01
—
J28639
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
01/27/2022
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