Davis, Donn Marshall
Davis, Donn Marshall is an individual health care provider with primary practice located at 1100 Gail Gardner Way , Prescott AZ 86305-1690. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Davis, Donn Marshall can be contacted via phone (928) 776-1040.Contact Information
Primary practice address
1100 Gail Gardner Way
Prescott AZ 86305-1690
Phone: (928) 776-1040
Fax: (928) 776-1041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 39768 | Colorado |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G53197 | Colorado |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 58993 | Arizona |
Profile Details
NPI number | 1003899816 |
---|---|
LBN Legal business name | Davis, Donn Marshall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2005 |
Last updated | Mar 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003899816 | NPPES |
Colorado | MEDICAID | 75206307 | |
Colorado | Other | 920007066 |
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