Individual
DR. DONALD B MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 FRIENDSHIP ST, PATHOLOGY-LAB, HAZARD 3, NEWPORT, RI 02840-2209
(401) 845-1284
(401) 845-1990
Mailing address
75 FISCHER CIR, PORTSMOUTH, RI 02871-5409
(401) 849-0833
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD8012
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003132
—
RI
Enumeration date
05/11/2007
Last updated
03/19/2012
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