Individual
JOHN FRAZER MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 WILLOW CREEK RD STE 3300, PRESCOTT, AZ 86301-1614
(928) 778-0827
(928) 778-5622
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
3195
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377920
—
AZ
01
—
AZ0863520
BCBS
AZ
Enumeration date
08/31/2006
Last updated
02/17/2025
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