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NPI Code Detail

MEDICARE: DONALD K ASHLEY MD

MEDICARE: DONALD K ASHLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD00030628WA

General Provider Information

NPI Number : 1104801372
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD K ASHLEY MD
Provider Business Mailing Address
First Line : 1111 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4118
Country : US
Telephone Number : 509-522-0100
Fax Number : 509-527-8010
Provider Business Practice Location Address
First Line : 1111 S 2ND AVE
Second Line :
City : WALLA WALLA
State : WA
Zip : 99362-4118
Country : US
Telephone Number : 509-522-0100
Fax Number : 509-527-8010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2005
Last Update Date : 05/08/2013

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