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Individual

ERIKA BUCY STACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 352-5301
(775) 352-5303
Mailing address
2345 E PRATER WAY STE 207, SPARKS, NV 89434-9634
(775) 352-5301
(775) 352-5303

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1882
NV
363A00000X
Physician Assistant
TX

Other

Enumeration date
12/21/2012
Last updated
02/04/2021
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