Individual
MARK RICHARD GACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 HILLCREST RD STE A, MOBILE, AL 36695-3904
(251) 340-7970
(866) 873-8411
Mailing address
4721 MORRISON DR STE 400, MOBILE, AL 36609-3350
(251) 340-6947
(251) 340-7971
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0002107
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148969
—
AL
01
—
51134625
BC AL
AL
Enumeration date
06/09/2005
Last updated
08/24/2022
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