Individual
DR. MARGARET HILDEBRAND DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 E OAK AVE, SUITE 201, FLAGSTAFF, AZ 86001-1818
(928) 913-8800
(928) 913-8801
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18916
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289133
—
AZ
01
—
P01190861
RAILROAD MEDICARE
AZ
Enumeration date
12/27/2005
Last updated
03/14/2017
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