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Organization
DR. MACK, LLC
Active
Organization
DR. MACK, LLC
Active
Other names
Gynecology Emergent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM MACKOVIC MD (OWNER)
(855) 376-2496
Entity
Organization
Contact information
Practice address
3711 LONG BEACH BLVD, SUITE 101 B, LONG BEACH, CA 90807-3315
(855) 376-2496
Mailing address
3711 LONG BEACH BLVD, SUITE 101 B, LONG BEACH, CA 90807-3315
(855) 376-2496
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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