# BRUCE A MACKEY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770787418
- **Authorized official:** BRUCE A MACKEY MD (PRESIDENT)
- **Authorized official phone:** (405) 285-7246

## Contact information

- **Practice address:** 3957 E COVELL RD, EDMOND, OK 73034-6909
- **Practice address phone:** (405) 285-7246
- **Practice address fax:** (405) 285-7546
- **Mailing address:** 3957 E COVELL RD, EDMOND, OK 73034-6909
- **Mailing address phone:** (405) 285-7246
- **Mailing address fax:** (405) 285-7546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 16205 | OK | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 09/19/2013
