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Search › Pennsylvania › 103TC0700X

Mckenzie Bourque

NPI 1417634866 · on the registry since 2023

Practice

Address
3550 Market St
Philadelphia, PA 19104
Phone
(267) 624-3493
Organisation at this address
Walgreen Co
Pennsylvania Dental Group Ltd.
On Demand Urgent Care Group Pc
Boston Brace International Inc.
Children'S Hospital Of Philadelphia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
94

Additional practice sites

  • 225 S Cobbs Creek Pkwy, Philadelphia, PA

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania