Individual
GREGORY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 E LONGVIEW ST, FAYETTEVILLE, AR 72703-4618
(479) 442-0144
Mailing address
390 E. LONGVIEW, FAYETTEVILLE, AR 72702
(479) 442-0144
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E5271
AR
Other
Enumeration date
04/03/2007
Last updated
07/16/2009
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