MICHAEL ALEXANDER MACKINNON

FORT DEFIANCE, AZ
NPI1174754626
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  CRNA0635)
Enumeration Date2009-07-31
Last Update Date2026-04-29
Business Address
MICHAEL ALEXANDER MACKINNON CRNA
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8000
Mailing Address
MICHAEL ALEXANDER MACKINNON CRNA
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number:
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