# MACK FAMILY CHIRO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124413760
- **Authorized official:** CLIFTON GUY MACK (OWNER)
- **Authorized official phone:** (480) 641-8352

## Contact information

- **Practice address:** 6020 E BROWN RD STE 104, MESA, AZ 85205-4812
- **Practice address phone:** (480) 641-8352
- **Mailing address:** 1042 N HIGLEY RD STE 102-442, MESA, AZ 85205-5398
- **Mailing address phone:** (480) 641-8352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2015015-01-BE | AZ | Yes |

## Other

- **Enumeration date:** 03/31/2015
- **Last updated:** 03/31/2015