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DOUGLAS TIMOTHY MACK MD

Individual Provider (NPI-1) Active

Otolaryngology

Provider Information

NPI Number
1861993552
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
4076 NEELY RD., APO, AA
Phone
(907) 361-5172

Specialties & Taxonomies

Otolaryngology License: MN #78320
Otolaryngology Primary License: NE #32380

All Addresses

MAILING

4076 NEELY ROAD

FORT WAINWRIGHT, ZZ

(907) 361-5172

LOCATION

4076 NEELY RD.

APO, AA

(907) 361-5172