Andrew Tad Mcdonald, M.D.
Pediatrics, Sports Medicine in Terre Haute, IN. Individual provider (NPI-1).
NPI number1972618775
StatusActive
Last updated in NPPESApr 13, 2015
Details
- NPI
- 1972618775
- Entity type
- Individual (NPI-1)
- Name
- Andrew Tad Mcdonald
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Apr 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080S0010X | Pediatrics, Sports Medicine | 01062210A | IN | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | 36113741 | IL |
Practice location
1725 N 5th StTerre Haute, IN 47804-4010
Phone 812-242-3005 · Fax 812-242-3054
Mailing address
221 S 6th StTerre Haute, IN 47807-4214
Phone 812-242-3005 · Fax 812-242-3054
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