Mackenzie Thompson

NPI #1972210995 in Olney, Illinois

Provider Information

NPI Number: 1972210995
Entity Type: Individual
Name: Mackenzie Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 31, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 363 N WEST ST
City: Olney
State: Illinois
ZIP Code: 62450-1160
Phone: (618) 392-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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