Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Warren R Stack, MD

Individual provider Internal Medicine Physician · NPI 1013088814

Dr. Warren R Stack, MD is an Internal Medicine Physician in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3540 S 4000 W 350
West Valley City, UT 84120
Phone: (801) 968-8692
Fax: (801) 968-9632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1679021205 (UT)

Record details

NPI number1013088814
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3540 S 4000 W, 350, West Valley City, UT 84120

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