Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY D. MCKENZIE, DO
ActiveLARRY D. MCKENZIE, DO is a Interventional Vascular Surgery healthcare provider located in BROKEN ARROW, Oklahoma. NPI 1003875212 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · BROKEN ARROW, OK
Registration Details
- NPI Number
- 1003875212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.421510860979 yrs)
- Last Updated
- Jul 6, 2021
- Licenses
-
3116 (OK)3116 (OK)3116 (OK)
Practice Information
- Address
-
4716 W URBANA ST STE 200BROKEN ARROW, OK, 740126162Browse OK providers · Browse ZIP 74012
- Phone
- 9187104112
- Fax
- 9187104118
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.