Search › Arizona › Surgical Physician Assistant
Richard Donnelly, P.A.-C
NPI 1396729455 · on the registry since 2005 · sole proprietor
Practice
- Address
- 43 W. White Mountain Blvd
Lakeside, AZ 85929 - Phone
- (928) 367-4040
- Fax
- (928) 367-4042
- Organisation at this address
- Billy Creek Clinic
White Mountain Pediatrics, PcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Surgical Physician Assistant
- Licence states on file
- AZ, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-02-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona