Individual
HANNA MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
350 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0069194
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2021
Last updated
03/28/2024
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