Individual
DR. RUSTY WILLIAM MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 873-9533
Mailing address
110 REVIVAL WAY, RALEIGH, NC 27608-2666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134430
NC
Other
Enumeration date
03/06/2019
Last updated
05/16/2022
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