NPI 1043441066

Mackenzie Renae Johnson

Practitioner Surgical Technologist Flagstaff, AZ

Practice location

Address: 1809 Thistle Rd, Flagstaff, AZ 86004-7790
Phone: (928) 856-1362

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 120200 (AZ)

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1043441066
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2009
Record last updated: 10 Jun 2010

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.