Mark C. Donnelly D.O.

NPI 1013394576 - Family Medicine - 207Q00000X

NPI Details
NPI 1013394576
Gender Male
Enumeration Date 05/04/2015
Last Updated 05/04/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
620 SHADOW LANE
LAS VEGAS NV, 89106-4194, US
Phone (702) 388-8436
Fax (702) 388-8431
Business Location
620 SHADOW LANE
LAS VEGAS NV, 89106-4194, US
Phone (702) 388-8436
Fax (702) 388-8431
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number SL1073
Remove 1013394576 NPI Number
 

According to our database, Mr. Mark C. Donnelly D.O. NPI is 1013394576, taxonomy code is 207Q00000X and license number is SL1073, license state is located at Nevada. Mark C. Donnelly D.O. physically located at 620 Shadow Lane, Las Vegas NV, 89106-4194. NPI Number Mark C. Donnelly D.O. has the Individual type.

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1013394576 NPI number is provided on an as is basis without warranty of any kind. 1013394576 is maintained by the National Plan & Provider Enumeration System. The contents of Mark C. Donnelly D.O. are for informational purposes only.