| Melissa A. Mckinney, D.o., P.l.l.c. | |
|
4283 Pima Way Lake Montezuma AZ 86342-5087 | |
| (928) 592-9140 | |
| (928) 592-9144 |
| Full Name | Melissa A. Mckinney, D.o., P.l.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4283 Pima Way, Lake Montezuma, Arizona |
| Authorized Official Name and Position | Melissa A. Mckinney (PHYSICIAN) |
| Authorized Official Contact | 9285929140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A. Mckinney, D.o., P.l.l.c. 2370 W Hwy 89a #11 Pmb 412 Sedona AZ 86336-5341 Ph: (928) 592-9140 | Melissa A. Mckinney, D.o., P.l.l.c. 4283 Pima Way Lake Montezuma AZ 86342-5087 Ph: (928) 592-9140 |
| NPI Number | 1932379658 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932379658 | NPI | - | NPPES |
| Z104516 | Other | AZ | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4057 (Arizona) | Primary |