Individual
MR. DONALD GORDON EWENS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
7331 SHELBY PL APT 141, RANCHO CUCAMONGA, CA 91739-5914
(909) 522-7219
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
54142
CA
Other
Enumeration date
01/10/2017
Last updated
12/03/2021
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