Individual provider · Type 1 NPI
Tanner Mack, MD
Student in an Organized Health Care Education/Training Program · Stanford, CA
NPI number
1235979758
Active
Practice location
300 Pasteur Drive, Room R309
Stanford, CA 94305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1235979758
Tanner Mack, MD's National Provider Identifier is 1235979758, issued on May 31, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Dec 5, 2024.