Individual
AVERY MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 S 3RD ST, MONTROSE, CO 81401-4212
(970) 240-7180
Mailing address
PO BOX 403, RIDGWAY, CO 81432-0403
(978) 835-2640
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55088
CO
Other
Enumeration date
06/19/2012
Last updated
07/21/2022
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