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Individual

KEVIN M DONAUSKY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8416 E SHEA BLVD, SUITE C-101, SCOTTSDALE, AZ 85260
(480) 483-3937
(480) 483-8813
Mailing address
8416 E SHEA BLVD, SUITE C-101, SCOTTSDALE, AZ 85260
(480) 483-3937
(480) 483-8813

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1322
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2Z1665
HEALTH NET
01
AZ0904810
BCBS
Enumeration date
05/23/2006
Last updated
07/08/2007
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