Provider Demographics
NPI:1801056015
Name:MCKEE, MICHAEL DAVID (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DAVID
Last Name:MCKEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1111 E. MCDOWELL RD.
Mailing Address - Street 2:TOWER 1, 2ND FLOOR, #0200066
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-839-8107
Mailing Address - Fax:
Practice Address - Street 1:755 E. MCDOWELL RD.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-521-3250
Practice Address - Fax:602-521-3251
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZCPSO56835207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery