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Individual

RICHARD SEAN STACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1414 RALEIGH RD STE 415, CHAPEL HILL, NC 27517-8834
(919) 883-3220
Mailing address
1414 RALEIGH RD STE 415, CHAPEL HILL, NC 27517-8834
(919) 883-3220

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25832
NC

Other

Enumeration date
03/09/2011
Last updated
03/09/2011
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