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
Fax: (928) 776-1041
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003899816 NPPES
Colorado MEDICAID 75206307
Colorado Other 920007066

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