IndividualActive
James Olack, M.D.
NPI 1669686135 · Plastic and Reconstructive Surgery Physician · Show Low, AZ
Provider details
- NPI number
- 1669686135
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME103523 (FL)
Practice location
2450 E Show Low Lake Rd
Suite 2a
Show Low, AZ 85901-7953
Phone: (928) 537-6767
Fax: (928) 537-0299
Mailing address
2450 E Show Low Lake Rd
Show Low, AZ 85901-7953
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2011-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.