Individual provider · Type 1 NPI

Aleicia Rae Mack, DO

Cardiovascular Disease Physician · Oklahoma City, OK

NPI number 1629105879 Active

Practice location

3433 NW 56th St, Ste 400
Oklahoma City, OK 73112-4455

Call (405) 947-3341 Map

Fax (405) 945-3126

Mailing address

Dept 96-0372
Oklahoma City, OK 73196-0372

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X53258-21 (WI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1629105879

Aleicia Rae Mack, DO's National Provider Identifier is 1629105879, issued on Feb 27, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 28, 2012.