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Organization

KENT B MCDONALD M.D PERFFESIONAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENT B MCDONALD M.D. (OWNER)
(435) 628-2814
Entity
Organization

Contact information

Practice address
515 S 300 E, SUITE 105, SAINT GEORGE, UT 84770-3900
(435) 628-2814
(435) 674-7112
Mailing address
515 S 300 E, SUITE 105, SAINT GEORGE, UT 84770-3900
(435) 628-2814
(435) 674-7112

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06469
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529647916001
UT
Enumeration date
02/11/2008
Last updated
07/08/2013
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