Individual
DR. CHARLES EDWARD MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 634-1271
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE 150, LOVELAND, CO 80538-8702
(970) 624-4443
(970) 490-4175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5007A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101121900
—
WY
Enumeration date
11/23/2005
Last updated
02/24/2015
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