# JOSEPH DONNELLY, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578593307
- **Authorized official:** JOSEPH R DONNELLY M.D. (MD/PRESIDENT)
- **Authorized official phone:** (925) 371-5377

## Contact information

- **Practice address:** 1133 E STANLEY BLVD, SUITE 111, LIVERMORE, CA 94550-4200
- **Practice address phone:** (925) 371-5377
- **Practice address fax:** (925) 371-0948
- **Mailing address:** PO BOX 1319, SALIDA, CA 95368-1319
- **Mailing address phone:** (209) 543-6279
- **Mailing address fax:** (209) 543-6280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A78117 | CA | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 07/21/2022