Individual
DR. DAVID C MCKENZIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1808 E AZTEC, STE 6, GALLUP, NM 87301
(505) 863-9374
(505) 722-7400
Mailing address
1808 E AZTEC, STE 6, GALLUP, NM 87301
(505) 863-9374
(505) 722-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80207
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11858
—
NM
Enumeration date
05/05/2006
Last updated
07/08/2007
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