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Contact Information

TRAVIS T MCKENZIE, DO
4401 HARRISON BLVD
OGDEN, UT84403
 Phone: 801-387-2800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for TRAVIS T MCKENZIE · (Male)

NPI Number 1386900595
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/02/2012
Last updated 09/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10246349-1204
Hospital affiliation(s)
  • ALTA VIEW HOSPITAL - (Acute Care)
    9660 SOUTH 1300 EAST
    SANDY, UT 84094
  • CASSIA REGIONAL MEDICAL CENTER - (Critical Access)
    1501 HILAND AVENUE
    BURLEY, ID 83318
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
  • LDS HOSPITAL - (Acute Care)
    8TH AVENUE AND C STREET
    SALT LAKE CITY, UT 84143
  • MCKAY DEE HOSPITAL CENTER - (Acute Care)
    4401 HARRISON BOULEVARD
    OGDEN, UT 84403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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