Search › Wyoming › 207Q00000X
Tianna Mack, DO
NPI 1912643891 · on the registry since 2022 · sole proprietor
Practice
- Address
- 820 E 17th St
Cheyenne, WY 82001 - Phone
- (307) 632-2434
- Organisation at this address
- University Of Wyoming
University Of WyomingInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Additional practice sites
- 418 W 31st St, Cheyenne, WY
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-11
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 Wyoming