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Individual

JEFFREY A MCKENNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2081 W FRYE RD STE 100, CHANDLER, AZ 85224-6278
(480) 753-1459
(480) 753-5311
Mailing address
9097 E DESERT COVE AVE STE 200, SCOTTSDALE, AZ 85260-6280
(480) 061-4540
(480) 753-5311

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20965
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152538
AZ
01
AZ0866580
BC PROVIDER ID
AZ
Enumeration date
06/21/2006
Last updated
04/03/2025
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