Individual
MACKENZIE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 COMMONS LOOP STE 300, KALISPELL, MT 59901-1904
(406) 756-7555
Mailing address
175 COMMONS LOOP STE 300, KALISPELL, MT 59901-1904
(406) 756-7555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MG4077079
MT
Other
Enumeration date
12/21/2016
Last updated
03/15/2021
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