Susan E Mcdonald MD

NPI 1740343995 - Family Medicine - 207Q00000X

NPI Details
NPI 1740343995
Gender Female
Enumeration Date 12/19/2006
Last Updated 01/25/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
10004 204TH AVE E
BONNEY LAKE WA, 98391-6539, US
Phone (253) 848-5951
Fax (253) 845-7073
Business Location
3908 10TH ST SE
PUYALLUP WA, 98374-2188, US
Phone (253) 848-5951
Fax (253) 845-7073
Taxonomy Code 207Q00000X
License State Washington
License Number MD00034053
Remove 1740343995 NPI Number

According to our database, Susan E Mcdonald MD NPI is 1740343995, taxonomy code is 207Q00000X and license number is MD00034053, license state is located at Washington. Susan E Mcdonald MD physically located at 10004 204th Ave E, Bonney Lake WA, 98391-6539. NPI Number Susan E Mcdonald MD has the Individual type.

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1740343995 NPI number is provided on an as is basis without warranty of any kind. 1740343995 is maintained by the National Plan & Provider Enumeration System. The contents of Susan E Mcdonald MD are for informational purposes only.