Individual
MAKENZIE TAYLOR CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-5150
Mailing address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024003084
MO
363AS0400X
Surgical Physician Assistant
Primary
2024003084
MO
Other
Enumeration date
02/12/2024
Last updated
02/05/2026
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