Individual
ROGER L MACKINNON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2025 MORSE AVE, SACRAMENTO, CA 95823
(916) 973-6847
Mailing address
214 CENTERVIEW DR, BRENTWOOD, TN 37027-5274
(615) 345-5390
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
10/27/2011
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