Mark E. Donnelly, M.D.

Specialist · Flagstaff, AZ

Individual Active NPI

NPI number 1902802192

Practice location

1215 N Beaver St
Ste 202
Flagstaff, AZ 86001-3126
Phone
(928) 773-2200
Fax
(928) 773-2201

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NPI record

NPI
1902802192
Entity type
Individual (Type 1)
Enumeration date
June 22, 2005
Last updated
March 14, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 18917 AZ

Mailing address

1200 N Beaver St
Payer Credentialing
Flagstaff, AZ 86001-3118
Phone
(928) 773-2559
Fax
(928) 213-6292

About Dr. Donnelly

Mark E. Donnelly, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1215 N Beaver St, Ste 202, Flagstaff, AZ 86001-3126. The NPI number 1902802192 was assigned on June 22, 2005 and the record was last updated on March 14, 2017.

Dr. Donnelly lists a license in the registry: #18917 (AZ) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark E. Donnelly, M.D.?

The NPI number is 1902802192.

What is the phone number of Dr. Donnelly?

The phone number listed for the practice location is (928) 773-2200.

Where is Dr. Donnelly located?

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

What is the taxonomy code for Dr. Donnelly?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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