Individual
ROBERT W SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3300 N ASHTON BLVD STE 450, LEHI, UT 84048-5340
(385) 455-7170
(888) 823-5887
Mailing address
3300 N ASHTON BLVD STE 450, LEHI, UT 84048-5340
(385) 455-7170
(888) 823-5887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
011510
AZ
207Q00000X
Family Medicine Physician
Primary
53766721204
UT
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
03/05/2026
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