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Jody Mack, PA
Medical Physician Assistant in Montrose, Colorado
NPI 1760663140

Jody Mack is a Medical Physician Assistant based in Montrose, CO and is specialized in Medical. Jody Mack practices in Montrose, CO and has the professional credentials of PA. The NPI Number for Jody Mack is 1760663140 and holds a License No. 2457 (Colorado).

The current practice location address for Jody Mack is 947 S 5Th St, Montrose, CO and can be reached out via phone at 970-249-2421 and via fax at 970-249-1203.

Location: 947 S 5Th St, Montrose, CO, 81401-5716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760663140
Provider Name
Jody Mack
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
947 S 5Th St, Montrose, CO, 81401-5716
Phone Number
970-249-2421
Fax Number
970-249-1203
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67538746 05 CO
institution
Provider Business Practice Location Address Details
Address
947 S 5Th St
City
Montrose
State
Colorado
Zip
81401-5716
Phone Number
970-249-2421
Fax Number
970-249-1203
person
Provider Business Mailing Address Details
Address
947 S 5Th St
City
Montrose
State
Colorado
Zip
81401-5716
Phone Number
970-249-2421
Fax Number
970-249-1203
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
MED-PAC-LIC-61430 (Montana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2457 (Colorado)
Definition
Definition to come...
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