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Organization

MICHAEL MCKINNEY, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREL A MORRIS CPC (OFFICE MANAGER)
(928) 634-5700
Entity
Organization

Contact information

Practice address
203 S CANDY LN STE 2A, COTTONWOOD, AZ 86326-4172
(928) 634-5700
(928) 634-8115
Mailing address
203 S CANDY LN STE 2A, COTTONWOOD, AZ 86326-4172
(928) 634-5700
(928) 634-8115

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24574
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
403965
AHCCCS
AZ
Enumeration date
05/14/2007
Last updated
01/31/2012
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