Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackinley Spencer Burrell, CP

Individual provider Prosthetist · NPI 1376217141

Mackinley Spencer Burrell, CP is a Prosthetist in Anthem, Arizona. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

42212 N 41st Dr Ste 105
Anthem, AZ 85086-3815
Phone: (623) 352-4520
Fax: (833) 680-2415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CP004467 (CA)

Record details

NPI number1376217141
Entity typeIndividual (Type 1)
GenderMale
Credentials CP
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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