Individual provider · Type 1 NPI

Joseph Michael Mack, MD

Diagnostic Radiology Physician · Fort Collins, CO

NPI number 1467439745 Active

Practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525-4325

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XCP1090 (NE)
Diagnostic Radiology Physician 2085R0202X17609C (WY)
Diagnostic Radiology Physician 2085R0202XCDR.0004506 (CO)
Diagnostic Radiology Physician Primary 2085R0202X58275 (GA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1467439745

Joseph Michael Mack, MD's National Provider Identifier is 1467439745, issued on Dec 28, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 8, 2025.