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Gary Stack, MD
Urology Physician in Everett, Washington
NPI 1487694535

Gary Stack is a Urology Physician based in Everett, WA. Gary Stack practices in Everett, WA and has the professional credentials of MD. The NPI Number for Gary Stack is 1487694535 and holds a License No. MD00012487 (Washington).

The current practice location address for Gary Stack is 4310 Colby Ave, Everett, WA and can be reached out via phone at 425-252-8102.

Location: 4310 Colby Ave, Everett, WA, 98203-2338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487694535
Provider Name
Gary Stack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4310 Colby Ave, Everett, WA, 98203-2338
Phone Number
425-252-8102
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0050032 01 WA LABOR AND INDUSTRY
1067305 05 WA
MD00012487 01 WA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
4310 Colby Ave
City
Everett
State
Washington
Zip
98203-2338
Phone Number
425-252-8102
Fax Number
person
Provider Business Mailing Address Details
Address
4310 Colby Ave
City
Everett
State
Washington
Zip
98203-2338
Phone Number
425-252-8102
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
MD00012487 (Washington)
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 acquired conditions of the urinary and reproductive systems and their contiguous structures.
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