Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD.10522R | LA |
NPI | 1275518110 |
---|---|
Provider Name | Dr. Grant Arthur Dona |
First Address | Monroe, LA 71201-6025 |
Second Address | Monroe, LA 71201-6025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 16/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1992861 | (05) | LA |
D33760 | (02) |