Provider Demographics
NPI:1801152756
Name:MCDONALD, ALEX ZUCKER (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:ZUCKER
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:MROSZCZYK-MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9961 SIERRA AVE
Mailing Address - Street 2:FAMILY MEDICINE
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335
Mailing Address - Country:US
Mailing Address - Phone:909-427-4000
Mailing Address - Fax:909-427-3573
Practice Address - Street 1:9961 SIERRA AVE
Practice Address - Street 2:FAMILY MEDICINE
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335
Practice Address - Country:US
Practice Address - Phone:909-427-4000
Practice Address - Fax:909-427-3573
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program