Richard E Donnelly, P.A.-C. is a surgical physician assistant in Lakeside, AZ. Richard E Donnelly, P.A.-C. NPI is 1396729455. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
43 W. WHITE MOUNTAIN BLVD
LAKESIDE, AZ
ZIP 85929-002
Phone: (928) 367-4040
Fax: (928) 367-4042
The enumeration date for this NPI number is 12/2/2005 and was last updated on 2/16/2011.