DR. Warren R Stack, MD
NPI #1013088814 in West Valley City, Utah
Provider Information
- NPI Number
- 1013088814
- Entity Type
- Individual
- Name
- DR. Warren R Stack, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3540 S 4000 W
- Address 2
- 350
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120
- Phone
- (801) 968-8692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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