Mark E Donnelly is a Specialist in Flagstaff, Arizona. Mark E Donnelly practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark E Donnelly is 1902802192. The last update date is 2017-03-14.
Mark E Donnelly's current location address is 1200 N Beaver St, Flagstaff, Arizona. You can contact this provider via phone number 9287732559 and fax number 9282136292. The mailing address for Mark E Donnelly is 1200 N Beaver St, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Donnelly |
|---|---|
| Address | 1200 N Beaver St, Flagstaff, Arizona |
| Phone Number | 9287732559 |
| Fax Number | 9282136292 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902802192 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2017-03-14 |
Provider Mailing Address Detail
| Address | 1200 N Beaver St |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860013118 |
| Phone Number | 9287732559 |
| Fax Number | 9282136292 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 18917 |
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Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 286874 | AZ | -- | |
| P01112889 | AZ | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark E Donnelly by the Centers for Medicare & Medicaid Services?
The Mark E Donnelly has been issued the NPI (National Provider Identifier) 1902802192, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark E Donnelly's physical address?
The Mark E Donnelly is physically located at 1200 N Beaver St, in the city of Flagstaff, AZ, with the postal code 860013118.
What is Mark E Donnelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark E Donnelly's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did Mark E Donnelly receive its 1902802192 assignment?
The Mark E Donnelly was assigned its 1902802192 on 2005-06-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mark E Donnelly, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark E Donnelly, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-14.