IndividualActive
Brandon Mackey, D.O.
NPI 1477081149 · Clinical & Laboratory Dermatological Immunology Physician · Peoria, AZ
Provider details
- NPI number
- 1477081149
- Entity type
- Individual
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 007843 (AZ)
Practice location
9191 W Thunderbird Rd Ste D101
Peoria, AZ 85381
Phone: (623) 977-6700
Fax: (623) 977-6771
Mailing address
9191 W Thunderbird Rd Ste D101
Peoria, AZ 85381-4270
Registry dates
- Enumerated
- 2017-05-25
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.