Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS TIMOTHY MACK, MD
ActiveDOUGLAS TIMOTHY MACK, MD is a Otolaryngology healthcare provider located in APO, APO/FPO Americas. NPI 1861993552 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · APO, AA
Registration Details
- NPI Number
- 1861993552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2018 (8.4189173761879 yrs)
- Last Updated
- Dec 10, 2024
- Licenses
-
78320 (MN)32380 (NE)
Practice Information
- Address
-
4076 NEELY RD.APO, AA, 99703Browse AA providers · Browse ZIP 99703
- Phone
- 9073615172
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.