Individual
KAREN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1401 GATEWAY BLVD, SUITE 2, ROCK SPRINGS, WY 82901-6786
(307) 352-3626
(307) 352-3628
Mailing address
PO BOX 2400, ROCK SPRINGS, WY 82902-2400
(307) 362-4336
(307) 362-4339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-1278
WY
174400000X
Specialist
PT1624
ID
Other
Enumeration date
05/22/2008
Last updated
10/01/2009
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