Individual provider · Type 1 NPI

Mark E. Donnelly, MD

Specialist · Flagstaff, AZ

NPI number 1902802192 Active

Practice location

1215 N Beaver St, Ste 202
Flagstaff, AZ 86001-3126

Call (928) 773-2200 Map

Fax (928) 773-2201

Mailing address

1200 N Beaver St, Payer Credentialing
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X18917 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1902802192

Mark E. Donnelly, MD's National Provider Identifier is 1902802192, issued on Jun 22, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Flagstaff, AZ. The record was last updated on Mar 14, 2017.