Individual provider · Type 1 NPI

Marvin Edgar Slack Ii, DO

Student in an Organized Health Care Education/Training Program · Kingman, AZ

NPI number 1538054283 Active

Practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Call (619) 244-8233 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XR4656 (AZ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1538054283

Marvin Edgar Slack Ii, DO's National Provider Identifier is 1538054283, issued on Jun 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kingman, AZ. The record was last updated on Jun 12, 2025.