# ROBERT W SLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467467399
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 011510 | AZ | — |
| 207Q00000X | Family Medicine Physician | 53766721204 | UT | Yes |
| 207Q00000X | Family Medicine Physician | CDR.0005337 | CO | — |
| 207Q00000X | Family Medicine Physician | DO.OP.70072856-IMLC | WA | — |
| 207Q00000X | Family Medicine Physician | OS025588 | PA | — |
| 207Q00000X | Family Medicine Physician | W2225 | TX | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 07/14/2026