| Doctor Name: | DONN M PALMER |
| NPI Number: | 1104999671 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA00811 |
| Business Practice Address: | 202 N 2nd St Alpine, TX - 798304704 |
| Business Phone Number: | 4328375505 |
| Business Fax Number: | 4328375450 |
| Mailing Address: | 5825 Stratford Ave Nw, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871144809 |
| Phone Number: | 5059229240 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA00811 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |