Ian Stack, PA
NPI #1154590529 in Pinehurst, North Carolina
Provider Information
- NPI Number
- 1154590529
- Entity Type
- Individual
- Name
- Ian Stack, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Feb 29, 2008
- Last Updated
- Feb 29, 2008
Practice Location
- Address
- 35 MEMORIAL DR
- City
- Pinehurst
- State
- North Carolina
- ZIP Code
- 28374-8708
- Phone
- (910) 715-7856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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