Individual
DR. DEWEY C MACKAY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 SO MEDICAL DR, SUITE 106, BRIGHAM CITY, UT 84302
(435) 723-1747
(435) 723-6851
Mailing address
PO BOX 883, BRIGHAM CITY, UT 84302
(435) 723-1747
(435) 723-6851
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1605811205
UT
Other
Enumeration date
08/31/2006
Last updated
12/02/2009
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