Provider Demographics
NPI:1386763845
Name:THORNTON, DONALD ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALAN
Last Name:THORNTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 94645
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-6945
Mailing Address - Country:US
Mailing Address - Phone:509-474-3181
Mailing Address - Fax:509-835-4058
Practice Address - Street 1:101 W 8TH AVE
Practice Address - Street 2:PSHMC
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2307
Practice Address - Country:US
Practice Address - Phone:509-474-3181
Practice Address - Fax:509-835-4058
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00048292207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8487738Medicaid
WAP00459423Medicare PIN
8867593Medicare PIN