MEDICARE: MICHAEL D DARNELL DO

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
1	207X00000X	Orthopaedic Surgery Physician	005170	AZ

General Provider Information

NPI Number	:	1265464416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL D DARNELL DO

Provider Business Mailing Address
First Line	:	PO BOX 859
Second Line	:
City	:	PAYSON
State	:	AZ
Zip	:	85547-0859
Country	:	US
Telephone Number	:	928-472-5260
Fax Number	:	928-472-3444

Provider Business Practice Location Address
First Line	:	126 E MAIN ST
Second Line	:	SUITE D
City	:	PAYSON
State	:	AZ
Zip	:	85541-5488
Country	:	US
Telephone Number	:	928-472-5260
Fax Number	:	928-472-3444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	04/11/2013

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