Individual
MR. SCOTT PAUL MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 WOODLAND ROAD, SUITE 1100, ANCHORAGE, AK 99517
(907) 248-1122
(907) 248-4168
Mailing address
1301 HUFFMAN ROAD, SUITE 205, ANCHORAGE, AK 99515
(907) 345-2050
(907) 345-9807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1229
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD12291
—
AK
05
—
MD12294
—
AK
05
—
MD12295
—
AK
Enumeration date
11/08/2006
Last updated
07/08/2007
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