Individual provider · Type 1 NPI
Darryl Spencer Slack, PA-C
Medical Physician Assistant · Hagerstown, MD
NPI number
1801909650
Active
Practice location
11110 Medical Campus Road, Suite 147, Meritus Health System
Hagerstown, MD 21742
Fax (240) 313-9601
Mailing address
12911 Clopper Rd
Hagerstown, MD 21742-4811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0000715 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1801909650
Darryl Spencer Slack, PA-C's National Provider Identifier is 1801909650, issued on Aug 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hagerstown, MD. The record was last updated on Sep 18, 2013.