Search › Arkansas › 171W00000X
Robert Mack, BACHELOR
NPI 1619018793 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2712 Edgewater Drive
Greenwood, AR 72936 - Phone
- (479) 414-1190
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas