Corey Alexander Stack, PA

NPI #1487447538 in Lockport, New York

Provider Information

NPI Number
1487447538
Entity Type
Individual
Name
Corey Alexander Stack, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
May 22, 2025
Last Updated
May 22, 2025

Practice Location

Address
5801 S TRANSIT RD
ZIP Code
14094-5811
Phone
(716) 727-2018

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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