Organization
GORDON K MACKENZIE MD PS
Active
Other names
G Keith Mackenzie MD PS
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE MCKEEN (OFFICE MANAGER)
(509) 624-9217
Entity
Organization
Contact information
Practice address
715 S COWLEY ST, SUITE 228, SPOKANE, WA 99202-1375
(509) 624-9217
(509) 623-2187
Mailing address
715 S COWLEY ST, SUITE 228, SPOKANE, WA 99202-1383
(509) 624-9217
(509) 623-2187
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD 00015774
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508100
—
WA
Enumeration date
02/05/2010
Last updated
07/12/2012
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