DONALD EVONS BERLYN

FLAGSTAFF, AZ
NPI1124029541
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AZ  AzPt1463)
Enumeration Date2005-08-09
Last Update Date2007-07-08
Business Address
-- DONALD EVONS BERLYN PT
1200 W ROUTE 66
FLAGSTAFF, AZ 86001-6238
Phone number: 928-556-0776
Mailing Address
-- DONALD EVONS BERLYN PT
1200 W ROUTE 66
FLAGSTAFF, AZ 86001-6238
Phone number: 928-556-0776