ALEICIA RAE MACK

OKLAHOMA CITY, OK
NPI1629105879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WI  53258-21)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-02-27
Last Update Date2012-09-28
Business Address
Dr. ALEICIA RAE MACK D.O.
3433 NW 56TH ST STE 400
OKLAHOMA CITY, OK 73112-4455
Phone number: 405-947-3341
Mailing Address
Dr. ALEICIA RAE MACK D.O.
DEPT 96-0372
OKLAHOMA CITY, OK 73196-0372
Phone number: 405-951-4370