Organization
BRUCE W MACKELLAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE W MACKELLAR M.D. (MEDICAL DIRECTOR)
(607) 324-2340
Entity
Organization
Contact information
Practice address
111 LODER ST, SUITE A, HORNELL, NY 14843-1950
(607) 324-5404
(607) 324-5463
Mailing address
PO BOX 727, HORNELL, NY 14843-0727
(607) 324-2340
(607) 324-7615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
176089-1
NY
Other
Enumeration date
06/04/2009
Last updated
10/16/2013
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