NPI 1003875212
Larry D. McKenzie, DO
Practice location
- Address
- 4716 W Urbana St STE 200, Broken Arrow, OK 74012-6162
- Phone
- (918) 710-4112
- Fax
- (918) 710-4118
Registered specialties (3)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Anesthesiology) Physician
Family Medicine Physician
Registry record
- NPI
- 1003875212
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Mar 2006
- Record last updated
- 6 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.