Search › New Mexico › 101YA0400X
Stephen Mack, LSAA
NPI 1871545103 · on the registry since 2006
Practice
- Address
- 413 Sipapu Rd
Taos, NM 87571 - Phone
- (505) 758-5857
- Fax
- (505) 758-2832
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-19
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 New Mexico