Most Relevant Information
Provider Data
| NPI Number: | 1003662370 |
| Provider Name: | JACOB RUSSELL MCKENZIE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | MT230979 |
Most Important Dates
| Enumeration Date: | 04/27/2024 |
| Last Updated: | 04/27/2024 |
Provider Practice Location
1001 S GEORGE ST
YORK
PA
174033676
Practice Location Phone/Fax
| Phone: | 7178512311 |
| Fax: |
Provider Mailing Location
1001 S GEORGE ST
YORK
PA
174033676
Provider Mailing Phone/Fax
| Phone: | 7178512311 |
| Fax: |