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Dr. Gregory R Mack, MD
Surgery of the Hand (Surgery) Physician in San Diego, California
NPI 1528169513

Gregory R Mack is a Surgery of the Hand (Surgery) Physician based in San Diego, CA and is specialized in Surgery of the Hand. Gregory R Mack practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Gregory R Mack is 1528169513 and holds a License No. G37547 (California).

The current practice location address for Gregory R Mack is 8008 Frost St, San Diego, CA and can be reached out via phone at 858-715-9200 and via fax at 858-715-1230.

Location: 8008 Frost St, San Diego, CA, 92123-4205
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Provider Profile Details
NPI Number
1528169513
Provider Name
Gregory R Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8008 Frost St, San Diego, CA, 92123-4205
Phone Number
858-715-9200
Fax Number
858-715-1230
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W19719 01 MEDICARE PTAN
00G375470 05 CA
institution
Provider Business Practice Location Address Details
Address
8008 Frost St
City
State
Zip
92123-4205
Phone Number
858-715-9200
Fax Number
858-715-1230
person
Provider Business Mailing Address Details
Address
8008 Frost St
City
State
Zip
92123-4205
Phone Number
858-715-9200
Fax Number
858-715-1230
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
License No.
G37547 (California)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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