Wallace Alvin Donaldson, M.D. Valid NPI

Individual provider · General Practice Physician · Zillah, WA

NPI

1750355020

Type

Individual (Type 1)

Primary specialty

General Practice Physician (General Practice)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208D00000X

License number

MD00009019 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-02-14

Last updated

2012-01-03