Brandon J Mackey, D.O. Valid NPI

Individual provider · Clinical & Laboratory Dermatological Immunology Physician · Peoria, AZ

NPI

1477081149

Type

Individual (Type 1)

Primary specialty

Clinical & Laboratory Dermatological Immunology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207NI0002X

License number

007843 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2017-05-25

Last updated

2019-10-25