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NPI Code Detail

MEDICARE: MACKENZI CHOITZ PA

MEDICARE: MACKENZI CHOITZ PA
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
1363A00000XPhysician Assistant15-02926KS

General Provider Information

NPI Number : 1811668213
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZI CHOITZ PA
Provider Business Mailing Address
First Line : 2265 S 9TH ST
Second Line :
City : SALINA
State : KS
Zip : 67401-7308
Country : US
Telephone Number : 785-452-6000
Fax Number : 785-452-6262
Provider Business Practice Location Address
First Line : 2265 S 9TH ST
Second Line :
City : SALINA
State : KS
Zip : 67401-7308
Country : US
Telephone Number : 785-452-6000
Fax Number : 785-452-6262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/27/2024

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Directions to “ MACKENZI CHOITZ PA” Practice Location

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