| David C. Mckenzie | |
|
1808 E Aztec Ave Ste 6 Gallup NM 87301-4946 | |
| (505) 863-9374 | |
| Not Available |
| Full Name | David C. Mckenzie |
|---|---|
| Speciality | Family Medicine |
| Location | 1808 E Aztec Ave Ste 6, Gallup, New Mexico |
| Authorized Official Name and Position | Marian Mckenzie (BUSINESS MANAGER) |
| Authorized Official Contact | 5058639374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David C. Mckenzie 1808 E Aztec Ave Ste 6 Gallup NM 87301-4946 Ph: (505) 863-9374 | David C. Mckenzie 1808 E Aztec Ave Ste 6 Gallup NM 87301-4946 Ph: (505) 863-9374 |
| NPI Number | 1316135510 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316135510 | NPI | - | NPPES |
| 11858 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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