Gary Stack is a Urology in Everett, Washington. Gary Stack practices all healthcare services and medical treatments related to Urology. The NPI Number for Gary Stack is 1487694535. The last update date is 2008-01-12.
Gary Stack's current location address is 4310 Colby Ave, Everett, Washington. You can contact this provider via phone number 4252528102. The mailing address for Gary Stack is 4310 Colby Ave, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Stack |
|---|---|
| Address | 4310 Colby Ave, Everett, Washington |
| Phone Number | 4252528102 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487694535 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2008-01-12 |
Provider Mailing Address Detail
| Address | 4310 Colby Ave |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982032338 |
| Phone Number | 4252528102 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MD00012487 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50032 | WA | LABOR AND INDUSTRY | |
| 1067305 | WA | -- | |
| MD00012487 | WA | STATE LICENSE NUMBER |
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What is the Gary Stack's unique identification number?
The Gary Stack has been assigned the NPI (National Provider Identifier) Number 1487694535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Gary Stack's facilities are situated?
The facilities of Gary Stack are physically located at the following address: 4310 Colby Ave, Everett, WA, 982032338.
What is Gary Stack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Stack's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did Gary Stack receive its 1487694535 assignment from the Centers for Medicare & Medicaid Services?
The Gary Stack was assigned its 1487694535 on 2006-06-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gary Stack most recently updated or revised?
The details related to Gary Stack, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-12.