Individual
DR. CHRISS A MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, SUITE 310, MISSOULA, MT 59802-4003
(406) 728-6520
(406) 329-2936
Mailing address
500 W BROADWAY ST, SUITE 310, MISSOULA, MT 59802-4003
(406) 728-6520
(406) 329-2936
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
7529
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102817
—
MT
Enumeration date
09/07/2005
Last updated
02/08/2008
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