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Individual

HEATH MACKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0850
(570) 271-6304
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD431556
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD431556
MEDICAL LICENSE
PA
Enumeration date
06/29/2007
Last updated
02/11/2021
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