Individual
DONALD PAUL FRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 725-2548
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 725-2548
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
C158388
CA
2085R0202X
Diagnostic Radiology Physician
31819
NC
2085R0202X
Diagnostic Radiology Physician
C158388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8934061
—
NC
Enumeration date
10/23/2006
Last updated
11/19/2018
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