| Gary Stack, MD | |
|
4310 Colby Ave, Suite 203, Everett, WA 98203-2338 | |
| (425) 252-8102 | |
| Not Available |
| Full Name | Gary Stack |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 4310 Colby Ave, Everett, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487694535 | NPI | - | NPPES |
| 0050032 | Other | WA | LABOR AND INDUSTRY |
| 1067305 | Medicaid | WA | |
| MD00012487 | Other | WA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00012487 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Stack, MD 4310 Colby Ave, Suite 203, Everett, WA 98203-2338 Ph: (425) 252-8102 | Gary Stack, MD 4310 Colby Ave, Suite 203, Everett, WA 98203-2338 Ph: (425) 252-8102 |
Brian Chi-ming Fong, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4310 Colby Ave, Suite 203, Everett, WA 98203 Phone: 425-252-8102 Fax: 425-339-0835 | |
Dr. Christopher Robert Hempel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Dr. Yen-huang Chen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Dr. Jeong Hoon Yoon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5443 Fax: 425-317-3935 | |
Raymond K Whalen, MD Urology Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-258-3903 | |
Earl Dan Bardin, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt, Ste C, Everett, WA 98203 Phone: 425-252-2313 Fax: 425-258-1182 |