NPI 1861993552

Douglas Timothy Mack, MD

Practitioner Otolaryngology Physician Apo, AA

Practice location

Address: 4076 Neely Rd., Apo, AA 99703
Phone: (907) 361-5172
Mailing address: 4076 Neely Road, Fort Wainwright, TX 99703

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 32380 (NE)

Other Otolaryngology providers in Armed Forces Americas →

Otolaryngology Physician

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 78320 (MN)

Registry record

NPI: 1861993552
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2018
Record last updated: 17 Jun 2026

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.