DR. Vince J Stack, M.D.

NPI #1497706071 in Salida, Colorado

Provider Information

NPI Number: 1497706071
Entity Type: Individual
Name: DR. Vince J Stack, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 16, 2006
Last Updated: Feb 3, 2023

Practice Location

Address: 530 W 16TH ST
City: Salida
State: Colorado
ZIP Code: 81201-2240
Phone: (719) 539-6112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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