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Individual

DR. RICHARD JOHN DONLICK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
HWY 160 & MP 394.3, KAYENTA, AZ 86033
(928) 697-4000
(928) 697-4145
Mailing address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS014344
PA

Other

Enumeration date
03/01/2008
Last updated
01/04/2019
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