Individual
ELISE R DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 246-5525
Mailing address
5335 E SHEA BLVD, #2030, SCOTTSDALE, AZ 85254-5711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R72761
AZ
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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