Bart William Mcdonald MPT

NPI 1043332901 - Physical Therapist - 225100000X

NPI Details
NPI 1043332901
Gender Male
Enumeration Date 04/04/2007
Last Updated 03/30/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1800 FLANDRO DR
190
POCATELLO ID, 83202-4940, US
Phone (208) 233-2248
Fax (208) 233-0219
Business Location
1800 FLANDRO DR
190
POCATELLO ID, 83202-4940, US
Phone (208) 233-2248
Fax (208) 233-0219
Toxanomy
Taxonomy Code 225100000X
License State Idaho
License Number PT-1555
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According to our database, Bart William Mcdonald MPT NPI is 1043332901, taxonomy code is 225100000X and license number is PT-1555, license state is located at Idaho. Bart William Mcdonald MPT physically located at 1800 Flandro Dr, Pocatello ID, 83202-4940. NPI Number Bart William Mcdonald MPT has the Individual type.

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1043332901 NPI number is provided on an as is basis without warranty of any kind. 1043332901 is maintained by the National Plan & Provider Enumeration System. The contents of Bart William Mcdonald MPT are for informational purposes only.