Organization
MACK VEIN SPECIALISTS
Active
Other names
Great Basin Vein Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR SELASSIE MACK MD (PRESIDENT)
(832) 744-0949
Entity
Organization
Contact information
Practice address
605 SIERRA ROSE DR STE 4, RENO, NV 89511-2093
(775) 451-1730
(775) 451-1713
Mailing address
605 SIERRA ROSE DR STE 4, RENO, NV 89511-2093
(775) 451-1730
(775) 451-1713
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
10/12/2023
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