NPI | 1710958475 |
---|---|
Other Name | GORDON R DONALDSON |
Former Legal Business Name | MORGANTOWN FAMILY PRACTICE LLC |
Entity Type | Organization |
Authorized Contact | GORDON R DONALDSON CEO 610-286-9064 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
208000000X Pediatrics | |
Enumeration Date | 2006-01-31 |
Last Update Date | 2024-05-31 |