Individual
DR. DONNA JEAN PEACE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
TUBA CITY REGIONAL HEALTHCARE CORPORATION, 167 N MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
(928) 367-9988
Mailing address
TUBA CITY REGIONAL HEALTHCARE CORPORATION, 167 N MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
(928) 367-9988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
836190
—
AZ
Enumeration date
07/12/2006
Last updated
09/20/2024
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