Individual provider · Type 1 NPI
Robert Thomas Mack, MD
General Practice Physician · Berkeley, CA
NPI number
1356985105
Active
Practice location
1311 Westview Dr
Berkeley, CA 94705-1652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G25338 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1356985105
Robert Thomas Mack, MD's National Provider Identifier is 1356985105, issued on Nov 5, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Berkeley, CA. The record was last updated on Nov 5, 2019.