Individual provider · Type 1 NPI

Tasha S. Mack, PA-C

Medical Physician Assistant · Mesa, AZ

NPI number 1184051336 Active

Practice location

7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007

Fax (480) 699-3033

Mailing address

6745 E Superstition Springs Blvd Apt 1001
Mesa, AZ 85206-4364

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5521 (AZ)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1184051336

Tasha S. Mack, PA-C's National Provider Identifier is 1184051336, issued on Oct 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mesa, AZ. The record was last updated on Oct 2, 2013.