| Doctor Name: | DR. DONALD MARK MEDUNA |
| NPI Number: | 1275518128 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 43138 |
| Business Practice Address: | 10th Medical Group 4102 Pinion Drive, Suite 100 Usaf Academy, CO - 808404000 |
| Business Phone Number: | 7193335171 |
| Business Fax Number: | 7193335091 |
| Mailing Address: | 1042 W Baptist Rd, Pmb 170 COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809212402 |
| Phone Number: | 7194886980 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 10/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 43138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |