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Individual

DR. DONALD AVIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 917-1648
Mailing address
333 N PENNINGTON DR, CHANDLER, AZ 85224-8270

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10765
AZ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
10765
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234089-02
AZ
01
AZ0736120
BC/BS
AZ
Enumeration date
05/17/2006
Last updated
04/22/2010
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