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Anthony J Mack, DO
Student in an Organized Health Care Education/Training Program in Fairborn, Ohio
NPI 1679268635

Anthony J Mack is a Student in an Organized Health Care Education/Training Program based in Fairborn, OH. Anthony J Mack practices in Fairborn, OH and has the professional credentials of DO. The NPI Number for Anthony J Mack is 1679268635 and holds a License No. (Ohio).

The current practice location address for Anthony J Mack is 2555 University Dr, Fairborn, OH and can be reached out via phone at 937-775-8188.

Location: 2555 University Dr, Fairborn, OH, 45324-6255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679268635
Provider Name
Anthony J Mack
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2555 University Dr, Fairborn, OH, 45324-6255
Phone Number
937-775-8188
Fax Number
Provider Enumeration Date
04/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2555 University Dr
City
Fairborn
State
Ohio
Zip
45324-6255
Phone Number
937-775-8188
Fax Number
person
Provider Business Mailing Address Details
Address
2555 University Dr
City
Fairborn
State
Ohio
Zip
45324-6255
Phone Number
937-775-8188
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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