| Mackenzie Neurology | |
|
726 Gail Gardner Way Suite B Prescott AZ 86305-2314 | |
| (928) 778-0060 | |
| (928) 778-0090 |
| Full Name | Mackenzie Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 726 Gail Gardner Way, Prescott, Arizona |
| Authorized Official Name and Position | John F Mackenzie (PRESIDENT) |
| Authorized Official Contact | 9287780060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Neurology Po Box 11826 Prescott AZ 86304-1826 Ph: (928) 778-0060 | Mackenzie Neurology 726 Gail Gardner Way Suite B Prescott AZ 86305-2314 Ph: (928) 778-0060 |
| NPI Number | 1144331448 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144331448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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