Individual
MACKINLEY SPENCER BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
42212 N 41ST DR STE 105, ANTHEM, AZ 85086-3815
(623) 352-4520
(833) 680-2415
Mailing address
42212 N 41ST DR STE 105, ANTHEM, AZ 85086-3815
(623) 352-4520
(833) 680-2415
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP004467
CA
Other
Enumeration date
08/05/2021
Last updated
09/26/2023
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