Provider Demographics
NPI:1962802553
Name:PRIEST, DONALD (BOCPO)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:PRIEST
Suffix:
Gender:M
Credentials:BOCPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 W CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5915
Mailing Address - Country:US
Mailing Address - Phone:559-740-7608
Mailing Address - Fax:559-740-7267
Practice Address - Street 1:917 W CENTER AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5915
Practice Address - Country:US
Practice Address - Phone:559-740-7608
Practice Address - Fax:559-740-7267
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist