person
Dr. Aleicia Rae Mack, DO
Student in an Organized Health Care Education/Training Program in Oklahoma City, Oklahoma
NPI 1629105879

Aleicia Rae Mack is a Student in an Organized Health Care Education/Training Program based in Oklahoma City, OK. Aleicia Rae Mack practices in Oklahoma City, OK and has the professional credentials of DO. The NPI Number for Aleicia Rae Mack is 1629105879 and holds a License No. 53258-21 (Oklahoma).

The current practice location address for Aleicia Rae Mack is 3433 Nw 56Th St, Oklahoma City, OK and can be reached out via phone at 405-947-3341 and via fax at 405-945-3126. You can also correspond with Aleicia Rae Mack through the mailing address at DEPT 96-0372, OKLAHOMA CITY, OK - 73196-0372 (mailing address contact number: 405-951-4370).

Location: 3433 Nw 56Th St, Oklahoma City, OK, 73196-0372
person
Provider Profile Details
NPI Number
1629105879
Provider Name
Aleicia Rae Mack
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3433 Nw 56Th St, Oklahoma City, OK, 73196-0372
Phone Number
405-947-3341
Fax Number
405-945-3126
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3433 Nw 56Th St
City
State
Zip
73112-4455
Phone Number
405-947-3341
Fax Number
405-945-3126
person
Provider Business Mailing Address Details
Address
3433 Nw 56Th St
City
State
Zip
73112-4455
Phone Number
405-947-3341
Fax Number
405-945-3126
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
53258-21 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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