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Individual

DR. DONALD BRUCE NIEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2900
Mailing address
PO BOX 190, 943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2900

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20885
NE
207Q00000X
Family Medicine Physician
33520
IA
207Q00000X
Family Medicine Physician
Primary
4120
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99999801
AZ
Enumeration date
07/20/2006
Last updated
03/13/2012
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