Individual
JAMES S MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2761 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(307) 382-6873
(307) 382-6869
Mailing address
1954 FT UNION BLVD, 107, SALT LAKE CITY, UT 84121-6800
(801) 993-9527
(801) 733-5618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
162010-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05840
—
UT
Enumeration date
09/07/2005
Last updated
04/23/2008
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