Provider Demographics
NPI:1033597257
Name:DONALDSON, ASHLEY RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:RENEE
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:RENEE
Other - Last Name:DONALDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:280 RIVER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-5793
Mailing Address - Country:US
Mailing Address - Phone:801-223-4860
Mailing Address - Fax:801-371-8993
Practice Address - Street 1:SPINAL INTERVENTIONS
Practice Address - Street 2:280 W RIVER PARK DRIVE SUITE 200
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:801-223-4860
Practice Address - Fax:801-371-8993
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
UT11284204-1205207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program