person
Ian Stack, PA
Medical Physician Assistant in Pinehurst, North Carolina
NPI 1154590529

Ian Stack is a Medical Physician Assistant based in Southern Pines, NC and is specialized in Medical. Ian Stack practices in Pinehurst, NC and has the professional credentials of PA. The NPI Number for Ian Stack is 1154590529 and holds a License No. 103480 (North Carolina).

The current practice location address for Ian Stack is 35 Memorial Dr, Pinehurst, NC and can be reached out via phone at 910-715-7856.

Location: 35 Memorial Dr, Pinehurst, NC, 28387-6819
person
Provider Profile Details
NPI Number
1154590529
Provider Name
Ian Stack
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
35 Memorial Dr, Pinehurst, NC, 28387-6819
Phone Number
910-715-7856
Fax Number
Provider Enumeration Date
02/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
35 Memorial Dr
City
State
Zip
28374-8708
Phone Number
910-715-7856
Fax Number
person
Provider Business Mailing Address Details
Address
35 Memorial Dr
City
State
Zip
28374-8708
Phone Number
910-715-7856
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
103480 (North Carolina)
Definition
Definition to come...
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