Charles Bruce Macdonald MD

NPI 1861458416 - Otolaryngology - 207Y00000X

NPI Details
NPI 1861458416
Gender Male
Enumeration Date 04/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1910 NONCONNAH BLVD
SUITE 120
MEMPHIS TN, 38132-2113, US
Phone (901) 448-2300
Fax (901) 448-6657
Business Location
66 N PAULINE ST
SUITE 206
MEMPHIS TN, 38105-5105, US
Phone (901) 448-7642
Fax (901) 448-8015
Toxanomy
Taxonomy Code 207Y00000X
License State Tennessee
License Number 31879
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According to our database, Dr. Charles Bruce Macdonald MD NPI is 1861458416, taxonomy code is 207Y00000X and license number is 31879, license state is located at Tennessee. Charles Bruce Macdonald MD physically located at 1910 Nonconnah Blvd, Memphis TN, 38132-2113. NPI Number Charles Bruce Macdonald MD has the Individual type.

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1861458416 NPI number is provided on an as is basis without warranty of any kind. 1861458416 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Bruce Macdonald MD are for informational purposes only.