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Individual
BRIANNA STACK
Active
Individual
BRIANNA STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022042946
MO
208M00000X
Hospitalist Physician
2025026899
MO
208M00000X
Hospitalist Physician
Primary
37382
NE
208M00000X
Hospitalist Physician
MD-56631
IA
Other
Enumeration date
06/29/2022
Last updated
06/17/2026
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