Individual
MR. PAUL D MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 S JACKSON ST, SUITE 100, DENVER, CO 80209-3176
(303) 321-0222
Mailing address
8378 E JAMISON CIR, CENTENNIAL, CO 80112-2752
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/14/2006
Last updated
01/28/2009
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