| NPI | 1124007083 |
|---|---|
| Other Name | JACK MCDONALD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CO 36114) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: CO 36114) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CO 36114) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2023-06-13 |