Individual provider · Type 1 NPI

Donna Antonia Theodore, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1366470791 Active

Practice location

3604 Bush St
Raleigh, NC 27609-7511

Fax (919) 876-8823

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X104147 (NC)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1366470791

Donna Antonia Theodore, PA-C's National Provider Identifier is 1366470791, issued on Jun 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.