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Individual

DR. DAVID R MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
(334) 737-6432
Mailing address
121 N 20TH ST STE 19, OPELIKA, AL 36801-5456
(334) 749-8146
(334) 737-6432

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11317
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340012694
RAILROAD MEDICARE
01
510-28676
BCBS OPELIKA
AL
05
529700320
AL
Enumeration date
09/02/2006
Last updated
02/14/2013
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