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NPI Code Detail

MEDICARE: RODRICK D MCKINLAY MD

MEDICARE: RODRICK D MCKINLAY 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
1208600000XSurgery Physician56697411205UT

General Provider Information

NPI Number : 1245245992
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODRICK D MCKINLAY MD
Provider Business Mailing Address
First Line : 1521 E 3900 S STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-1550
Country : US
Telephone Number : 801-268-3800
Fax Number : 801-268-3997
Provider Business Practice Location Address
First Line : 1521 E 3900 S STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-1550
Country : US
Telephone Number : 801-268-3800
Fax Number : 801-268-3997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 02/06/2024

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Directions to “ RODRICK D MCKINLAY MD” Practice Location

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