DR. Brandon Vashon Mack, MD

NPI #1639203664 in Rock Springs, Wyoming

Provider Information

NPI Number: 1639203664
Entity Type: Individual
Name: DR. Brandon Vashon Mack, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1200 COLLEGE DR
City: Rock Springs
State: Wyoming
ZIP Code: 82901-5868
Phone: (307) 352-8326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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