Individual
BRUCE A MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3957 E COVELL RD, EDMOND, OK 73034-6909
(405) 285-7246
(405) 285-7546
Mailing address
3957 E COVELL RD, EDMOND, OK 73034-6909
(405) 285-7246
(405) 285-7546
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
16205
OK
Other
Enumeration date
06/08/2005
Last updated
09/26/2013
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