Individual
MARTIN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2480 THREE RIVERS BLVD, POPLAR BLUFF, MO 63901-2318
(573) 686-5564
Mailing address
84 ADAMS RD, WAPPAPELLO, MO 63966-8247
(573) 222-8820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOR9E27
MO
Other
Enumeration date
09/27/2006
Last updated
05/03/2010
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