Frederick Richard Stack in Sioux City - Internal Medicine

Frederick Richard Stack - NPI 1548256977

Frederick Richard Stack is a Internal Medicine in Sioux City, Iowa. Frederick Richard Stack practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Frederick Richard Stack is 1548256977. The last update date is 2023-07-10.

Frederick Richard Stack's current location address is 801 5th St, Sioux City, Iowa. You can contact this provider via phone number 7122792010 and fax number 7122792034. The mailing address for Frederick Richard Stack is 801 5th St, Sioux City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick Richard Stack
Address 801 5th St, Sioux City, Iowa
Phone Number 7122792010
Fax Number 7122792034
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1548256977
Provider Enumeration Date 2005-09-21
Last Updated Date 2023-07-10

Provider Mailing Address Detail

Address 801 5th St
City Sioux City
State Iowa (IA)
Post Code 511011326
Phone Number 7122792010
Fax Number 7122792034

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 2050
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
436693002 AZ --
AZ0866740 AZ BLUE CROSS BLUEE SHIELD
110208816 AZ MEDICARE RAILROAD

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FAQs about Frederick Richard Stack

What is the unique 10-digit identification code assigned to Frederick Richard Stack by the Centers for Medicare & Medicaid Services?

The Frederick Richard Stack has been issued the NPI (National Provider Identifier) 1548256977, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Frederick Richard Stack's facilities are geographically located?

The facilities of Frederick Richard Stack are physically situated at the following location: 801 5Th St, Sioux City, IA, 511011326.

What is Frederick Richard Stack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Frederick Richard Stack is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1548256977 to Frederick Richard Stack?

The Centers for Medicare & Medicaid Services originally issued the 1548256977 to Frederick Richard Stack on 2005-09-21.

When was the Frederick Richard Stack's information last updated?

The Frederick Richard Stack's information was last updated on 2023-07-10.

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