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Contact Information

WARREN R STACK, MD
3540 S 4000 W
350
WEST VALLEY CITY, UT84120
 Phone: 801-968-8692
 Fax: 801-968-9632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WARREN R STACK · (Male)

NPI Number 1013088814
Status Active
Credentials MD
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 1679021205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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