Individual
MACKENZIE ELYSE BELLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3366 NW EXPWY STE 800, OKLAHOMA CITY, OK 73112-4458
(405) 948-0640
Mailing address
2501 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73106-1402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5588
OK
Other
Enumeration date
06/25/2025
Last updated
08/15/2025
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