Mark Richard Gacek
Otolaryngologist (ENT Doctor)
100 Memorial Hospital Dr Glw Annex Building, Ste. 3c
Mobile
, Alabama 36608-1183
Mark Richard Gacek
Otolaryngologist (ENT Doctor)
100 Memorial Hospital Dr Glw Annex Building, Ste. 3c
Mobile
, Alabama 36608-1183
(251) 340-7971
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Mark Richard Gacek
- 100 Memorial Hospital Dr Glw Annex Building, Ste. 3c
- Mobile, AL
- Zip : 36608-1183
- Fax : (251) 340-7971
- Phone : (251) 340-7970
Second Address
- Mark Richard Gacek
- 100 Memorial Hospital Dr Glw Annex Building, Ste. 3c
- Mobile, AL
- Zip : 36608-1183
- Fax : (251) 340-7971
- Phone : (251) 340-7970
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0002107 | AL |
National Provider Identifier
| NPI | 1073517769 |
|---|---|
| Provider Name | Mark Richard Gacek |
| First Address | Mobile, AL 36608-1183 |
| Second Address | Mobile, AL 36608-1183 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 10/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 148969 | (05) | AL |
| 51134625 | BC AL (01) | AL |
| E20182 | (02) | AL |
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.