Mackenzie Rose Betz, PA

NPI #1235755190 in Jasper, Indiana

Provider Information

NPI Number: 1235755190
Entity Type: Individual
Name: Mackenzie Rose Betz, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 17, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 721 W 13TH ST STE 321
City: Jasper
State: Indiana
ZIP Code: 47546-1857
Phone: (812) 996-7918

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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