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General NPI Number Information
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NPI Number | 1508278318
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Entity Type | Organization
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Legal Business Name | DONALD RALPH TODD MD
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 5147 N 9TH AVE STE 325C
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City | PENSACOLA
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State | FL
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Zip | 32504-8770
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Country | US
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Telephone | 850-479-0708
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Fax | 850-434-0013
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Provider Business Mailing Address
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Address Line | PO BOX 447
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City | GULF BREEZE
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State | FL
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Zip | 32562-0447
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD RALPH TODD
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Credential | M.D.
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Telephone | 850-479-0708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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