Individual
DR. ANDREW JOHN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1144 N 12TH ST, GRAND JUNCTION, CO 81501-7641
(970) 242-0222
(970) 242-0281
Mailing address
950 NORTH AVE, STE 106, GRAND JUNCTION, CO 81501-3259
(970) 242-0222
(970) 242-0281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1605
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00314654
RAILROAD MEDICARE
CO
Enumeration date
09/04/2006
Last updated
09/25/2017
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