John David Stack, PA
NPI #1629170592 in Oroville, California
Provider Information
- NPI Number
- 1629170592
- Entity Type
- Individual
- Name
- John David Stack, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Sep 2, 2006
- Last Updated
- Feb 11, 2011
Practice Location
- Address
- 1611 FEATHER RIVER BLVD
- Address 2
- SUITE #10
- City
- Oroville
- State
- California
- ZIP Code
- 98685
- Phone
- (530) 534-4530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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