Gregory R Mack in San Diego - Surgery Of The Hand

Gregory R Mack - NPI 1528169513

Gregory R Mack is a Surgery Of The Hand in San Diego, California. Gregory R Mack practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for Gregory R Mack is 1528169513. The last update date is 2013-08-06.

Gregory R Mack's current location address is 8008 Frost St, San Diego, California. You can contact this provider via phone number 8587159200 and fax number 8587151230. The mailing address for Gregory R Mack is 8008 Frost St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory R Mack
Address 8008 Frost St, San Diego, California
Phone Number 8587159200
Fax Number 8587151230
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528169513
Provider Enumeration Date 2006-09-25
Last Updated Date 2013-08-06

Provider Mailing Address Detail

Address 8008 Frost St
City San Diego
State California (CA)
Post Code 921234205
Phone Number 8587159200
Fax Number 8587151230

Provider's Primary Taxonomy Detail

Speciality Surgery Of The Hand
Taxonomy 2086S0105X
Licence No G37547
Definition:
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W19719 MEDICARE PTAN
00G375470 CA --

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FAQs about Gregory R Mack

What is the unique provider identifier assigned to Gregory R Mack?

The Gregory R Mack has been issued the NPI (National Provider Identifier) 1528169513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Gregory R Mack is physically located?

The Gregory R Mack is physically situated at the following address: 8008 Frost St, San Diego, CA, 921234205.

What is the area of specialization for Gregory R Mack, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gregory R Mack is Surgery Of The Hand, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0105X.

On what date did the Gregory R Mack receive its 1528169513 assignment from the Centers for Medicare & Medicaid Services?

The Gregory R Mack was assigned its 1528169513 by the Centers for Medicare & Medicaid Services on 2006-09-25.

As of what date were the details related to Gregory R Mack most recently updated or revised?

The information pertaining to Gregory R Mack, including its address, specialty, and other relevant details, was last updated or revised on 2013-08-06.

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