Individual
DR. JEFFREY T. MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 E SUNRISE DR STE 161, TUCSON, AZ 85718-4324
(520) 408-6955
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32313
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840547
—
AZ
Enumeration date
09/30/2005
Last updated
01/27/2021
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