MR. Cullen Anthony Mack, P.A.

NPI #1104369099 in Medford, Oregon

Provider Information

NPI Number: 1104369099
Entity Type: Individual
Name: MR. Cullen Anthony Mack, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Nov 23, 2016
Last Updated: Mar 7, 2023

Practice Location

Address: 235 E BARNETT RD
Address 2: SUITE 106
City: Medford
State: Oregon
ZIP Code: 97501-7901
Phone: (541) 773-4029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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