Individual
ANTHONY CHRISTOPHER STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT018719
PA
207RX0202X
Medical Oncology Physician
Primary
OS020804
PA
Other
Enumeration date
06/17/2018
Last updated
11/05/2025
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