Individual
ANWAR MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 SIERRA ROSE DRIVE #4, RENO, NV 89511
(775) 689-5410
(775) 786-4031
Mailing address
605 SIERRA ROSE DRIVE STE 4, RENO, NV 89511
(775) 689-5410
(775) 451-1713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME133682
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
19872
NV
207R00000X
Internal Medicine Physician
TRN21142
FL
208VP0000X
Pain Medicine Physician
ME133682
FL
Other
Enumeration date
04/13/2015
Last updated
01/03/2022
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