IndividualActive
Aleicia Mack, D.O.
NPI 1629105879 · Cardiovascular Disease Physician · Oklahoma City, OK
Provider details
- NPI number
- 1629105879
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 53258-21 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3433 Nw 56th St
Ste 400
Oklahoma City, OK 73112-4455
Phone: (405) 947-3341
Fax: (405) 945-3126
Approximate (ZIP-level) locationGet directions
Mailing address
Dept 96-0372
Oklahoma City, OK 73196-0372
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2012-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.