| NPI | 1396971958 |
|---|---|
| Doing Business As | MACKENZIE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMIE QUINN Credentialing/Billing Supervisor 928-541-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: AZ 3225) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2017-10-18 |