Individual
DR. BRIAN RICHARD MACK
Active
Individual
DR. BRIAN RICHARD MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71793
TN
207L00000X
Anesthesiology Physician
A65116
CA
Other
Enumeration date
02/15/2007
Last updated
03/24/2025
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