Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Renae Johnson

Individual provider Surgical Technologist · NPI 1043441066

Mackenzie Renae Johnson is a Surgical Technologist in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
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Practice location Address checks out

1809 Thistle Rd
Flagstaff, AZ 86004-7790
Phone: (928) 856-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 120200 (AZ)

Record details

NPI number1043441066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2009
Last updated in NPPESJune 10, 2010

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