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1013088814
WARREN R STACK
WEST VALLEY CITY, UT
NPI
1013088814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 1679021205)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
Dr. WARREN R STACK MD
3540 S 4000 W 350
WEST VALLEY CITY, UT 84120
Phone number: 801-968-8692
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Mailing Address
Dr. WARREN R STACK MD
3540 S 4000 W 350
WEST VALLEY CITY, UT 84120
Phone number: 801-968-8692
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