Individual
DR. RICHARD S. STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA50961
NJ
208800000X
Urology Physician
MD-14129
HI
Other
Enumeration date
02/23/2006
Last updated
05/01/2025
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