MEDICARE: DR. GREGORY A MCDONALD D.C.

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
1	111N00000X	Chiropractor	04746	IA
2	111NN0400X	Neurology Chiropractor	124	IA
3	111NS0005X	Sports Physician Chiropractor	3036	IA
4	111NX0800X	Orthopedic Chiropractor	2388	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18549	OTHER	IA	WELLMARK BCBS
2	8103	OTHER	IA	MIDLAND'S CHOICE ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285694521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY A MCDONALD D.C.

Provider Business Mailing Address
First Line	:	943 S GILBERT ST
Second Line	:	SUITE 1
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4742
Country	:	US
Telephone Number	:	319-338-2273
Fax Number	:	319-338-1225

Provider Business Practice Location Address
First Line	:	943 S GILBERT ST
Second Line	:	SUITE 1
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4742
Country	:	US
Telephone Number	:	319-338-2273
Fax Number	:	319-338-1225

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	02/03/2010

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Directions to “ DR. GREGORY A MCDONALD D.C.” Practice Location

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