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1801909650
DARRYL SPENCER SLACK
HAGERSTOWN, MD
NPI
1801909650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0000715)
Enumeration Date
2006-08-16
Last Update Date
2013-09-18
Business Address
Mr. DARRYL SPENCER SLACK PA-C
11110 MEDICAL CAMPUS ROAD, SUITE 147 MERITUS HEALTH SYSTEM
HAGERSTOWN, MD 21742
Phone number: 240-313-9600
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Mailing Address
Mr. DARRYL SPENCER SLACK PA-C
12911 CLOPPER RD
HAGERSTOWN, MD 21742-4811
Phone number: 240-527-4378
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