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Individual

DAVID JOSEPH DONALDSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461-5520
(985) 646-5075
(225) 930-7524
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
(225) 930-7524

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
015552
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.015552
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00112202
MS
05
1902683
LA
Enumeration date
09/24/2006
Last updated
09/02/2010
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