Individual
DONALD A. HUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6451 N FEDERAL HWY, SUITE 800, FORT LAUDERDALE, FL 33308-1402
(954) 343-2114
(800) 463-3169
Mailing address
4638 E CORTEZ ST, PHOENIX, AZ 85028-2319
(520) 840-0312
(480) 657-2015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281428
—
AZ
01
—
AZ0890620
BLUECROSS BLUESHIELD
AZ
Enumeration date
02/02/2006
Last updated
12/10/2013
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