Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark E Donnelly, MD

Individual provider Specialist · NPI 1902802192

Mark E Donnelly, MD is a Specialist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2005.

Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1215 N Beaver St Ste 202
Flagstaff, AZ 86001-3126
Phone: (928) 773-2200
Fax: (928) 773-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 18917 (AZ)

Record details

NPI number1902802192
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESMarch 14, 2017
Mailing address1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118

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