Individual
DR. TIPPI C MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A100302
CA
208600000X
Surgery Physician
MD068018L
PA
2086S0120X
Pediatric Surgery Physician
Primary
A100302
CA
Other
Enumeration date
10/11/2006
Last updated
03/17/2018
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