Individual
MACKENZIE CAITLIN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 WILLOW CREEK RD, PRESCOTT, AZ 86301-1108
(928) 608-5500
(928) 608-5508
Mailing address
1600 WILLOW CREEK RD, PRESCOTT, AZ 86301-1108
(928) 608-5500
(928) 608-5508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8250
AZ
Other
Enumeration date
04/10/2020
Last updated
05/31/2023
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