Russel T Mckenna, DO

NPI #1184633711 in Logan, Utah

Provider Information

NPI Number: 1184633711
Entity Type: Individual
Name: Russel T Mckenna, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Aug 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1325 N 600 E STE 101
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 750-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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