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NPI Code Detail

MEDICARE: MAKENZIE DANIEL DO

MEDICARE: MAKENZIE DANIEL DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramAZ

General Provider Information

NPI Number : 1245172675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZIE DANIEL DO
Provider Business Mailing Address
First Line : 7400 E THOMPSON PEAK PKWY
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-4109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26224 N TATUM BLVD STE 5
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-7500
Country : US
Telephone Number : 480-882-7580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MAKENZIE DANIEL DO” Practice Location

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