Dr. Jeffrey T. Mack
Family Doctor
4001 E Sunrise Dr Ste 161
Tucson
, Arizona 85718-4324
Dr. Jeffrey T. Mack
Family Doctor
4001 E Sunrise Dr Ste 161
Tucson
, Arizona 85718-4324
(602) 789-8389
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Jeffrey T. Mack
- 2510 W Dunlap Ave Ste 290
- Phoenix, AZ
- Zip : 85021-2737
- Fax : (602) 789-8389
- Phone : (602) 789-0344
Second Address
- Dr. Jeffrey T. Mack
- 4001 E Sunrise Dr Ste 161
- Tucson, AZ
- Zip : 85718-4324
- Phone : (520) 408-6955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 32313 | AZ |
National Provider Identifier
| NPI | 1003803461 |
|---|---|
| Provider Name | Dr. Jeffrey T. Mack |
| First Address | Phoenix, AZ 85021-2737 |
| Second Address | Tucson, AZ 85718-4324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 27/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 840547 | (05) | AZ |
| G66442 | (02) | AZ |
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.