Individual provider · Type 1 NPI

Jody Mack, PA

Medical Physician Assistant · Montrose, CO

NPI number 1760663140 Active

Practice location

947 S 5th St
Montrose, CO 81401-5716

Call (970) 249-2421 Map

Fax (970) 249-1203

Other practice locations

  • 242 Cottonwood St Ste 101, Delta, CO 81416-4404 · (970) 874-7552
  • 906 S 4th St, Montrose, CO 81401-4226 · (970) 249-2421

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2457 (CO)
Medical Physician Assistant Primary 363AM0700XMED-PAC-LIC-61430 (MT)

Medical Physician Assistant: Definition to come...

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About NPI 1760663140

Jody Mack, PA's National Provider Identifier is 1760663140, issued on Nov 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Montrose, CO. The record was last updated on Mar 3, 2022.