Doctor Name: | DONNA D ALDERMAN |
NPI Number: | 1235207572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A6837 |
Business Practice Address: | 1740 Broadview Drive Glendale, CA - 91208 |
Business Phone Number: | 8189573000 |
Business Fax Number: | 8189573078 |
Mailing Address: | 1740 Broadview Drive, GLENDALE |
State: | CA |
Postal Code: | 91208 |
Phone Number: | 8189573000 |
Fax Number: | 8189573078 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A6837 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |