NPI 1376217141

Mackinley Spencer Burrell, CP

Practitioner Prosthetist Anthem, AZ

Practice location

Address: 42212 N 41st Dr STE 105, Anthem, AZ 85086-3815
Phone: (623) 352-4520
Fax: (833) 680-2415

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CP004467 (CA)

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Registry record

NPI: 1376217141
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2021
Record last updated: 26 Sep 2023

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.