DR. WARREN R STACK, MD
Osteopathic Medicine at 4000, Salt Lake City, UT

License number
Utah 1679021205
Category
Osteopathic Medicine
Type
Internal Medicine
Address
Address
3540 S 4000 W 350, Salt Lake City, UT 84120
Phone
(801) 968-8692
(801) 968-9632 (Fax)
National Provider ID: 1013088814
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WARREN R STACK at bizstanding.com

Warren R Stack MD

5005 S 900 E, Salt Lake City, UT 84117

Industry:
Medical Doctor's Office

WARREN R. STACK, M.D. PC

710 E 2 S STE 4, Salt Lake City, UT 84102

Status:
Inactive
Registration:
Jul 12, 1991
State ID:
1092099-0144
Business type:
Corporation - Professional
Agent:
Warren R Stack,3540 S 4000 W, Salt Lake City, UT 84120 (Physical)

Professional information

Warren R Stack Photo 1

Dr. Warren R Stack, West Valley City UT - MD (Doctor of Medicine)
Specialties:
Internal Medicine
Address:
3540 S 4000 W STE 350, West Valley City 84120
(801) 968-8692 (Phone), (801) 968-9632 (Fax)
Languages:
English
Education:
Medical School
University Of Utah School Of Medicine
Graduated: 1979
UMDNJ R W Johnson Med School
Background:
Sanction:  1 time(s)

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