SCOTT STACK

SAN FRANCISCO, CA
NPI1891418000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2022-09-22
Last Update Date2022-09-22
Business Address
-- SCOTT STACK CPO
4150 CLEMENT ST
SAN FRANCISCO, CA 94121-1563
Phone number: 415-221-4810
Mailing Address
-- SCOTT STACK CPO
2004 MIDWAY DR
SANTA ROSA, CA 95405-4930
Phone number:
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