Individual
DAVID C MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-7010
(207) 662-7025
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
250207
MA
207P00000X
Emergency Medicine Physician
LP01503
RI
207P00000X
Emergency Medicine Physician
Primary
MD19695
ME
Other
Enumeration date
07/18/2008
Last updated
09/16/2013
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