Richard E Donnelly, PA-C
Richard E Donnelly, PA-C is a Surgical Physician Assistant in Lakeside, Arizona. Practices as a sole proprietor. Licensed in Arizona and Minnesota.
- Licensed in
- AZ, MN
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
43 W White Mountain BlvdLakeside, AZ 85929-7002
Phone: (928) 367-4040
Fax: (928) 367-4042
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 1105 (AZ) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 10186 (MN) |
Record details
| NPI number | 1396729455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | December 2, 2005 |
| Last updated in NPPES | February 16, 2011 |