Individual provider · Type 1 NPI

Dominique Merle Mack

Physician Assistant · Omaha, NE

NPI number 1003603689 Active

Practice location

1813 N 73rd St
Omaha, NE 68114-1905

Call (402) 991-5070 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XH14171394 (NE)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003603689

Dominique Merle Mack's National Provider Identifier is 1003603689, issued on Apr 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Omaha, NE. The record was last updated on Apr 24, 2025.