Susanne C Stack PA-C

NPI 1730223637 - Physician Assistant - 363A00000X

NPI Details
NPI 1730223637
Gender Female
Enumeration Date 02/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
SPOKANE WA, 99223-6524, US
Phone (509) 443-1668
Business Location
PO BOX 31297
SPOKANE WA, 99223-3021, US
Phone (509) 443-1668
Taxonomy Code 363A00000X
License State Washington
License Number PA10004295
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According to our database, Susanne C Stack PA-C NPI is 1730223637, taxonomy code is 363A00000X and license number is PA10004295, license state is located at Washington. Susanne C Stack PA-C physically located at 5206 S Stone Ln, Spokane WA, 99223-6524. NPI Number Susanne C Stack PA-C has the Individual type.

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1730223637 NPI number is provided on an as is basis without warranty of any kind. 1730223637 is maintained by the National Plan & Provider Enumeration System. The contents of Susanne C Stack PA-C are for informational purposes only.