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Individual

DR. THOMAS TANNER MACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
9394 BIG HORN BLVD, ELK GROVE, CA 95758-7977
(916) 691-8500
(916) 691-8599
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2868
CA

Other

Enumeration date
05/22/2013
Last updated
11/01/2013
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