Individual
MACKENZIE TRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2199
(814) 723-4973
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-4973
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS021725
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/04/2018
Last updated
10/16/2021
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