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NPI Code Detail

MEDICARE: DR. WILLIAM JOHN MCDONALD MD PA

MEDICARE: DR. WILLIAM JOHN MCDONALD MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianME18249FL

General Provider Information

NPI Number : 1134228422
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOHN MCDONALD MD PA
Provider Business Mailing Address
First Line : 1028 NORTH FEDERAL HIGHWAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-2352
Country : US
Telephone Number : 561-585-9891
Fax Number : 561-585-5801
Provider Business Practice Location Address
First Line : 1028 NORTH FEDERAL HIGHWAY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-2352
Country : US
Telephone Number : 561-585-9891
Fax Number : 561-585-5801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 07/08/2007

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