NPI 1639203664

Brandon Vashon Mack, MD

Practitioner Anesthesiology Physician Rock Springs, WY

Practice location

Address: 1200 College Dr, Rock Springs, WY 82901-5868
Phone: (307) 352-8326
Fax: (307) 352-8502
Mailing address: 1200 College Dr P.O. Box 1359, Rock Springs, WY 82901-5868

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence TL799 (WY)

Other Anesthesiology providers in Wyoming →

Registry record

NPI: 1639203664
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
Record last updated: 8 Jul 2007

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.