SearchColorado175T00000X

Troy Mack, PRC

NPI 1861265860 · on the registry since 2023

Practice

Address
6273 W Jewell Ave # 109
Lakewood, CO 80232
Phone
(720) 829-3093

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-01

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 Colorado