Individual
JACOB RUSSELL MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2311
Mailing address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT230979
PA
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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