Organization
MACK FAMILY CHIRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON GUY MACK (OWNER)
(480) 641-8352
Entity
Organization
Contact information
Practice address
6020 E BROWN RD STE 104, MESA, AZ 85205-4812
(480) 641-8352
Mailing address
1042 N HIGLEY RD STE 102-442, MESA, AZ 85205-5398
(480) 641-8352
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2015015-01-BE
AZ
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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