OrganizationActive
David R Donaldson M.D., PLLC
NPI 1689869836 · Medical Specialty Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1689869836
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debby Wilcox, Manager(208) 232-2146
- License
- M9470 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
333 N 18th Ave
St#b3
Pocatello, ID 83201
Phone: (208) 232-2146
Fax: (208) 232-2770
Approximate (ZIP-level) locationGet directions
Mailing address
333 N 18th Ave
Pocatello, ID 83201-3358
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2018-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.