JODY MACK, PA
Physician Assistant - Medical
Active
Individual
NPI: 1760663140
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 2457 (CO) |
| Physician Assistant - Medical | 363AM0700X | Yes | MED-PAC-LIC-61430 (MT) |
Frequently Asked Questions
NPI 1760663140 is the National Provider Identifier for JODY MACK, PA, a Physician Assistant - Medical provider located in Montrose, CO. This NPI was enumerated on November 14, 2007.
JODY MACK, PA practices at 947 S 5TH ST, Montrose, CO 81401.
Quick Facts
- NPI
- 1760663140
- Type
- Individual
- Enumerated
- Nov 14, 2007
- Last Updated
- Mar 3, 2022
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