Individual
ROBERT P MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 837-2263
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 837-2263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C50355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C50355
CA MEDICAL LICENSE
CA
Enumeration date
04/14/2006
Last updated
05/22/2008
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