National Provider Identifier Database

DAVID R DONALDSON MD PLLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

DAVID R DONALDSON M.D., PLLC
333 N 18TH AVE
ST#B3
POCATELLO, ID83201
Phone: 208-232-2146
Fax: 208-232-2770
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for DAVID R DONALDSON M.D., PLLC

NPI Number 1689869836
Legal business name
LBN
DAVID R DONALDSON M.D., PLLC
Authorized official DEBBY WILCOX - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/11/2007
Last updated 07/05/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: M9470

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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