Name: | Debra Mackenzie |
Specialization: | Pediatrics |
Gender: | Female |
Location: | 190 E Bannock St, Boise, Idaho, 83712-6241 |
Phone: | 208-381-5026 |
NPI Number: | 1467091322 |
NPI Enumeration Date: | 24 Dec, 2019 |
NPI Last Update On: | 24 Dec, 2019 |
Specialization | License Number | State | Status | |
Pediatrics | P5366 | Idaho | Primary |
Address: | 190 E Bannock St, Boise, Idaho |
Zip: | 83712-6241 |
Phone Number: | 208-381-5026 |
Fax Number: | -- |