Individual
MACKENZIE LANDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-3050
Mailing address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-3050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125064599
IL
208600000X
Surgery Physician
Primary
2019-01762
NC
208600000X
Surgery Physician
61110
AZ
Other
Enumeration date
06/23/2014
Last updated
06/03/2020
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