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1548218555

NPI Code Detail

MEDICARE: DEAN WM MCKENZIE MD

MEDICARE: DEAN WM MCKENZIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	37977	AZ
2	103T00000X	Psychologist	042.0012187	VT
3	207RA0401X	Addiction Medicine (Internal Medicine) Physician	042.0012187	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548218555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN WM MCKENZIE MD

Provider Business Mailing Address
First Line	:	839 W CONGRESS ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-2819
Country	:	US
Telephone Number	:	520-670-3909
Fax Number	:	520-309-2560

Provider Business Practice Location Address
First Line	:	13395 N MARANA MAIN ST
Second Line	:
City	:	MARANA
State	:	AZ
Zip	:	85653-7008
Country	:	US
Telephone Number	:	520-682-1091
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/18/2025

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Directions to “ DEAN WM MCKENZIE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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