Dr. Denny J Mack, D.O.
Physical Medicine & Rehabilitation in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1154569960
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1154569960
- Entity type
- Individual (NPI-1)
- Name
- Dr. Denny J Mack
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2009
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | S7093 | TX | Yes |
| 111N00000X | Chiropractor | 7130076-1202 | UT | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 801-703-3133
Mailing address
6900 N Pecos RdNorth Las Vegas, NV 89086-4400
Phone 801-703-3133
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