Organization
GACEK EAR AND SINUS CENTER LLC
Active
Organization
GACEK EAR AND SINUS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R GACEK M.D. (OWNER/PRESIDENT)
(251) 340-7970
Entity
Organization
Contact information
Practice address
720 HILLCREST RD STE A, MOBILE, AL 36695-3904
(251) 340-7970
(251) 340-7971
Mailing address
4721 MORRISON DR STE 400, MOBILE, AL 36609-3350
(251) 340-6947
(251) 460-5457
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0002170
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147898
—
AL
Enumeration date
02/20/2013
Last updated
08/24/2022
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