person
Mr. Darryl Spencer Slack, PA-C
Medical Physician Assistant in Hagerstown, Maryland
NPI 1801909650

Darryl Spencer Slack is a Medical Physician Assistant based in Hagerstown, MD and is specialized in Medical. Darryl Spencer Slack practices in Hagerstown, MD and has the professional credentials of PA-C. The NPI Number for Darryl Spencer Slack is 1801909650 and holds a License No. C0000715 (Maryland).

The current practice location address for Darryl Spencer Slack is 11110 Medical Campus Road, Suite 147, Hagerstown, MD and can be reached out via phone at 240-313-9600 and via fax at 240-313-9601. You can also correspond with Darryl Spencer Slack through the mailing address at 12911 CLOPPER RD, HAGERSTOWN, MD - 21742-4811 (mailing address contact number: 240-527-4378).

Location: 11110 Medical Campus Road, Suite 147, Hagerstown, MD, 21742-4811
person
Provider Profile Details
NPI Number
1801909650
Provider Name
Darryl Spencer Slack
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11110 Medical Campus Road, Suite 147, Hagerstown, MD, 21742-4811
Phone Number
240-313-9600
Fax Number
240-313-9601
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C0000715 01 MD STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
11110 Medical Campus Road, Suite 147
City
State
Zip
21742
Phone Number
240-313-9600
Fax Number
240-313-9601
person
Provider Business Mailing Address Details
Address
11110 Medical Campus Road, Suite 147
City
State
Zip
21742
Phone Number
240-313-9600
Fax Number
240-313-9601
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0000715 (Maryland)
Definition
Definition to come...
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