Individual
MARK S. DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 E. 32ND ST, SILVER CITY, NM 88061
(575) 388-1591
Mailing address
205 W. BOUTZ RD. BLDG #1, LAS CRUCES, NM 88005
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
92-209
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F8282
—
NM
Enumeration date
03/24/2006
Last updated
07/28/2010
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