Individual
MACKENZIE IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HIS
Contact information
Practice address
1515 N 400 E STE 101, LOGAN, UT 84341-7578
(801) 495-4800
Mailing address
1515 N 400 E STE 101, LOGAN, UT 84341-7578
(801) 495-4800
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
11060893-4602
UT
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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