SEAN STACK, M.D.
Radiology - Vascular & Interventional Radiology
Active
Individual
NPI: 1962453217
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | No | 20801 (OR) |
| Radiology - Vascular & Interventional Radiology | 2085R0204X | Yes | MD20801 (OR) |
Frequently Asked Questions
NPI 1962453217 is the National Provider Identifier for SEAN STACK, M.D., a Radiology - Vascular & Interventional Radiology provider located in Salem, OR. This NPI was enumerated on May 12, 2006.
SEAN STACK, M.D. practices at 2925 RYAN DR SE, Salem, OR 97301.
Quick Facts
- NPI
- 1962453217
- Type
- Individual
- Enumerated
- May 12, 2006
- Last Updated
- Nov 22, 2023
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