Individual
DR. MACKENZIE MARIE INTLEKOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7808 W THOMAS RD, PHOENIX, AZ 85033-5481
(602) 655-6900
Mailing address
800 COUNTRY CLUB DR, MAQUOKETA, IA 52060-3304
(563) 320-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
307333
AZ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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