Richard E Donnelly, P.A.-C.

NPI #1396729455 in Lakeside, Arizona

Provider Information

NPI Number
1396729455
Entity Type
Individual
Name
Richard E Donnelly, P.A.-C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
P.A.-C.
Enumeration Date
Dec 2, 2005
Last Updated
Feb 16, 2011

Practice Location

Address
43 W. WHITE MOUNTAIN BLVD
State
Arizona
ZIP Code
85929-7002
Phone
(928) 367-4040

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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