Individual
THOMAS R DONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 N ACADIA RD, SUITE 410, THIBODAUX, LA 70301-4847
(985) 447-2645
(985) 447-2604
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 447-2645
(985) 447-2604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L019872
LA
207T00000X
Neurological Surgery Physician
Primary
MD.019872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1394556
—
LA
Enumeration date
03/24/2006
Last updated
04/05/2013
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