Whalio Doctors

NPI 1003803461

Jeffrey T. Mack, MD

Practitioner Family Medicine Physician Tucson, AZ

Practice location

Address
4001 E Sunrise Dr STE 161, Tucson, AZ 85718-4324
Phone
(520) 408-6955
Mailing address
2510 W Dunlap Ave STE 290, Phoenix, AZ 85021-2737

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 32313 (AZ)

Registry record

NPI
1003803461
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Sep 2005
Record last updated
27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.