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NPI Code Detail

MEDICARE: JAMES A. MACK MD

MEDICARE: JAMES A. MACK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician8739MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000833OTHERMTBCBS PIN
2114711100OTHERWYMDCD PIN
30019975OTHERMTMDCD PIN

General Provider Information

NPI Number : 1669575445
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A. MACK MD
Provider Business Mailing Address
First Line : PO BOX 35100
Second Line :
City : BILLINGS
State : MT
Zip : 59107-5100
Country : US
Telephone Number : 406-238-2500
Fax Number :
Provider Business Practice Location Address
First Line : 1045 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0733
Country : US
Telephone Number : 406-238-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 02/10/2022

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