Healthcare Provider Details

I. General information

NPI: 1922056746
Provider Name (Legal Business Name): DONALD J CURRAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 W STATE ROUTE 89A SUITE 212
COTTONWOOD AZ
86326-3754
US

IV. Provider business mailing address

294 W STATE ROUTE 89A SUITE 212
COTTONWOOD AZ
86326-3754
US

V. Phone/Fax

Practice location:
  • Phone: 928-649-7979
  • Fax: 928-649-7980
Mailing address:
  • Phone: 928-649-7979
  • Fax: 928-649-7980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number4034
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: