Individual
DONALD T INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5651
(520) 387-5347
Mailing address
410 N MALACATE ST, AJO, AZ 85321-2254
(520) 387-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3617
AZ
Other
Enumeration date
04/12/2007
Last updated
10/24/2019
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