SUSANNE C STACK

SPOKANE, WA
NPI1730223637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004295)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
-- SUSANNE C STACK PA-C
5206 S STONE LN
SPOKANE, WA 99223-6524
Phone number: 509-443-1668
Mailing Address
-- SUSANNE C STACK PA-C
PO BOX 31297
SPOKANE, WA 99223-3021
Phone number: 509-443-1668
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