Individual
MARTY D MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4270 COTTAGE HILL RD, MOBILE, AL 36609-4286
(251) 300-2770
(251) 300-2771
Mailing address
4270 COTTAGE HILL RD, MOBILE, AL 36609-4286
(251) 300-2770
(251) 300-2771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.734
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009909785
—
AL
05
—
009936181
—
AL
05
—
009936182
—
AL
05
—
009936183
—
AL
05
—
009993335
—
AL
01
—
1831122795
TRICARE SOUTH
AL
01
—
515-13147
BCBS
AL
01
—
515-33130
BCBS
AL
01
—
515-33134
BCBS
AL
01
—
515-97308
BCBS
AL
Enumeration date
07/07/2006
Last updated
05/14/2012
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