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Individual

DR. DONNA M SASSAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 N BEAVER ST, FMC HOSPITALIST PROGRAM, FLAGSTAFF, AZ 86001
(928) 214-2920
(928) 214-2925
Mailing address
PO BOX 29434, PHOENIX, AZ 85038
(928) 214-2922
(928) 214-2932

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44606
AZ
207R00000X
Internal Medicine Physician
MD424100
PA
208000000X
Pediatrics Physician
44606
AZ
208000000X
Pediatrics Physician
MD424100
PA
208M00000X
Hospitalist Physician
Primary
MD165268
OR

Other

Enumeration date
04/27/2006
Last updated
02/06/2017
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