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. |
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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 |
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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 |
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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 |