Provider Demographics
NPI:1700858321
Name:ARMSTRONG, DONALD T (OPA-C)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:T
Last Name:ARMSTRONG
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Gender:M
Credentials:OPA-C
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Other - First Name:
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Mailing Address - Street 1:17 EXCHANGE ST W
Mailing Address - Street 2:#222
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1045
Mailing Address - Country:US
Mailing Address - Phone:651-602-0101
Mailing Address - Fax:651-602-0035
Practice Address - Street 1:17 EXCHANGE ST W
Practice Address - Street 2:#222
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1045
Practice Address - Country:US
Practice Address - Phone:651-602-0101
Practice Address - Fax:651-602-0035
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN8805363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical