Individual
DR. MARY COLLEEN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N. HWY 89, NORTHERN ARIZONA VA HCS, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
500 N. HWY 89, PRESCOTT, AZ 86313
(928) 445-4860
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
25942
AZ
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
D42636
MD
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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