Dr. Gregory R Mack
Surgery of the Hand
8008 Frost St Suite 403
San Diego
, California 92123-4205
Dr. Gregory R Mack
Surgery of the Hand
8008 Frost St Suite 403
San Diego
, California 92123-4205
(858) 715-1230
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Gregory R Mack
- 8008 Frost St Suite 403
- San Diego, CA
- Zip : 92123-4205
- Fax : (858) 715-1230
- Phone : (858) 715-9200
Second Address
- Dr. Gregory R Mack
- 8008 Frost St Suite 403
- San Diego, CA
- Zip : 92123-4205
- Fax : (858) 715-1230
- Phone : (858) 715-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | G37547 | CA |
National Provider Identifier
| NPI | 1528169513 |
|---|---|
| Provider Name | Dr. Gregory R Mack |
| First Address | San Diego, CA 92123-4205 |
| Second Address | San Diego, CA 92123-4205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 06/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G375470 | (05) | CA |
| A91902 | (02) | CA |
| W19719 | MEDICARE PTAN (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.